Thrive is designed specifically for individuals who want to change their relationship with alcohol using The Sinclair Method (TSM), but don't want the shame, rigid rules, or mandatory abstinence of traditional programs. It is ideal for those looking for a practical, lifestyle-focused blueprint to achieve long-term moderation or eventual abstinence at an unhurried pace.

Thrive is not for anyone experiencing severe, life-threatening alcohol withdrawal symptoms that require immediate medical detox, or individuals looking for a traditional 12-step program.

Thrive is built entirely around The Sinclair Method (TSM), an evidence-based approach that uses the prescription medication naltrexone before drinking. Over time, this process is designed to weaken the learned association between alcohol and reward, helping reduce cravings and the urge to drink.

While naltrexone works on the biological side of drinking, it doesn’t automatically change the habits, routines, and behaviors that have developed around alcohol. Thrive helps with that side of the process through education, practical tools, coaching, and community support — helping members understand what’s happening, change their drinking habits, and apply the Sinclair Method to everyday life.

100% real humans, start to finish. Every welcome call, community conversation, and coaching touchpoint comes from certified coaches and a peer network who have used The Sinclair Method themselves.

When you reach out, you are talking with people who understand the process because they have lived it.

Thrive was founded by Katie Lain, who successfully used the Sinclair Method to change her own relationship with alcohol. She works alongside medical advisor Dr. Joseph Volpicelli, one of the clinical pioneers of naltrexone research.

Thrive is also supported by an experienced team of coaches, mentors, clinicians, and other experts who specialize in helping people change their relationship with alcohol through compassionate, harm-reduction and moderation-focused approaches. Many members of our team bring their own lived experience with alcohol use disorder and recovery, giving them a personal understanding of the journey as well as professional expertise.

Together, our team brings lived experience, clinical knowledge, and compassionate support to help members navigate the Sinclair Method in everyday life.

If alcohol has become a nightly habit, the first step for many people is not relying on willpower or trying to quit cold turkey. It can help to understand why drinking has become so automatic and take a different approach to changing it.

The Sinclair Method works on the biological side of drinking, gradually reducing the brain’s learned response to alcohol. Thrive supports the human side: helping you understand the process, change the habits surrounding your drinking, and get support from coaches and a community of people who understand the journey firsthand.

You do not have to commit to quitting forever to begin. Many members start simply wanting to drink less and feel more in control. A good first step is to explore the program options and find the level of support that fits your goals.

Rehab and 12-step programs work for some people, but they are not the only path. For many people, taking time away from work or family for residential treatment — or managing the cost — simply isn’t practical. With Thrive, you can follow the Sinclair Method from home while continuing with your everyday life and getting guidance and support along the way.

The Sinclair Method uses naltrexone to gradually change the brain’s learned response to alcohol, while Thrive helps you navigate the day-to-day process — understanding your progress, changing the habits and patterns surrounding your drinking, and building a healthier relationship with alcohol.

Through coaching, practical tools, and a private community, you can work toward your own goals, whether that’s drinking less, feeling more in control, or eventually becoming alcohol-free.

You can see how the program works and decide whether Thrive feels like the right fit for you.

Yes. For most people who join Thrive, moderation is the goal, not abstinence. The aim is to regain control over drinking, not to be told you must give it up forever.

The Sinclair Method is designed for exactly this. By taking naltrexone about an hour before drinking, many people find the urge to keep going quietly fades, which makes drinking less feel natural rather than forced.

Thrive supports whatever goal fits your life, whether that is moderation, occasional drinking, or, for some people over time, abstinence. Thrive gives you the tools, community, and coaching support to help you move toward your goal at your own pace.

If you’ve tried rules, limits, or willpower over and over only to find yourself slipping back into the same drinking patterns, you’re not alone. Alcohol can become deeply reinforced in the brain over time, which can make simply deciding to drink less difficult to sustain.

The Sinclair Method takes a different approach. Rather than asking you to fight the urge to drink, naltrexone works gradually to weaken the learned connection between alcohol and reward. Over time, this can reduce cravings and make alcohol feel less compelling.

But drinking is also shaped by years of habits, routines, emotions, and automatic behaviors. That’s where Thrive comes in. Through coaching, practical habit-change tools, education, and community support, Thrive helps you work on the patterns surrounding your drinking while naltrexone works on the biological side.

Instead of trying harder at the same approach that hasn’t worked before, you’re addressing both the biological and behavioral sides of drinking.

There are several ways to reach us. You can: 

1. Write to us here
2. Email [email protected]
3. Call or text us here ‪(406) 201-1225‬

We’re available Monday–Friday, 9am–5pm Pacific Time.

If you reach out after hours or over the weekend, your message is very important to us and we’ll be in touch on the next business day.

The Sinclair Method is a scientifically proven protocol for alcohol use disorder that boasts a high clinical success rate. Instead of relying purely on willpower or white-knuckling through deprivation, TSM uses targeted medication timing to achieve "pharmacological extinction" — gradually fading the brain's biological urge to over-drink.

Naltrexone is an FDA-approved, non-addictive prescription medication. Unlike older medications that make a person violently ill if they consume alcohol, Naltrexone simply blocks the endorphin "rush" in the brain. According to extensive clinical data, it is widely considered safe, non-habit forming, and most initial adjustments (like mild temporary nausea or fatigue) typically fade within the first week or two.

At first, alcohol will taste the same and provide its usual relaxing qualities. However, because the medication blocks the intense dopamine "hook," the overwhelming urgency to chase a second, third, or fourth glass begins to fade. Over time, alcohol simply becomes far less interesting—like enjoying a single scoop of ice cream but having zero desire to eat the whole tub.

⚠️ Note on Impairment: Naltrexone blocks the chemical reward of alcohol, but not the physical impairment. You can still get drunk and experience hangovers, so it is vital to pace yourself and never drive.

The short answer is no, it depends entirely on an individual's long-term goals and their doctor's guidance. The TSM protocol is highly flexible and adapts to how a person's lifestyle evolves:

• For long-term moderation: The TSM protocol is designed so that the medication is taken one hour before the first drink. For those who choose lifelong moderation, this acts as a permanent safety mechanism to prevent the brain from re-learning old habits.

• For complete abstinence: Once cravings are entirely quieted and a person chooses to stop drinking altogether, the protocol no longer requires the medication.

• On naturally alcohol-free days: The protocol calls for taking absolutely no medication, allowing the brain to fully enjoy everyday rewards interference-free.

The timeline varies from person to person. Some people notice changes in cravings or drinking relatively early, while for others the process unfolds more gradually over many months. The Sinclair Method works over time by weakening the learned connection between alcohol and reward, so it is not considered a quick fix.

Many people notice changes along the way — such as thinking about alcohol less, feeling less interested in another drink, or naturally drinking less. More significant changes in cravings and drinking patterns can take several months or longer, which is one reason Thrive is designed as a 12-month support program.

Progress can look different from month to month. A Thrive coach can help members understand what to expect, recognize changes that may be easy to overlook, and stay focused on their overall progress rather than any single day or week.

Yes. The Sinclair Method is a gradual process, and cravings do not necessarily disappear right away. Some people notice changes relatively early, while for others cravings and interest in alcohol change more gradually over time.

Several factors can influence progress, including consistency with the Sinclair Method protocol. Questions about naltrexone timing, dosing, or persistent cravings should always be discussed with a prescribing provider.

Cravings can also be connected to habit, routine, stress, or emotion — not just the brain’s learned response to alcohol. This is where Thrive’s support can be especially helpful. A Thrive coach can help members identify the patterns surrounding their drinking, develop new habits, and better understand what may be influencing the urge to drink.

Because the Sinclair Method works gradually, progress can sometimes be easier to recognize over several months than from one week to the next. Changes may show up in different ways — drinking less overall, having fewer or less intense cravings, thinking about alcohol less often, or finding it easier to stop drinking once started.

Tracking drinking and cravings over time can help reveal gradual changes that might otherwise be easy to miss. If progress seems limited, there may also be factors worth exploring, such as consistency with the TSM protocol, expectations around the timeline, or drinking habits and patterns that medication alone may not change.

A Thrive coach can help members look at their progress more closely and identify areas to explore. For a deeper explanation, medical advisor Dr. Joseph Volpicelli explains some of the reasons naltrexone may not seem to be working and what factors can influence progress.

There can be several reasons someone may not be seeing the changes they expected on the Sinclair Method. Because TSM works gradually, drinking patterns don’t always change at a steady pace, and progress can look different from person to person.

Some factors worth exploring include:

• Consistency with the TSM protocol: Following the medication plan established with a prescribing provider is an important part of the process.
• Expectations around timing: Meaningful changes in cravings and drinking can take time, and the timeline varies considerably between individuals.
• Habitual drinking: Some drinking may be tied to routines and automatic behaviors that continue even as the response to alcohol begins to change.
• Stress and emotional triggers: Alcohol may serve purposes beyond its rewarding effects, and those patterns may need attention alongside the biological process.

This is where Thrive’s coaching and community can be especially valuable. A Thrive coach can help members take a closer look at their drinking patterns, recognize what may be influencing their progress, and develop practical strategies for changing the habits surrounding alcohol.

Naltrexone works on the biological side of drinking, but changing a relationship with alcohol often involves more than medication alone. Habits, routines, emotions, and questions about the process can all come up along the way. That human side is where coaching and community can be especially valuable.

This is the idea behind Thrive’s approach of meeting the medication halfway. While naltrexone works to weaken the learned connection between alcohol and reward, Thrive helps members understand the process, recognize their drinking patterns, build new habits, and apply the Sinclair Method in everyday life.

Thrive’s experienced coaches understand the Sinclair Method firsthand, and many bring their own lived experience with alcohol use disorder. Along with a supportive peer community, they give members a place to ask questions, gain perspective, celebrate progress, and stay connected to their goals throughout the journey.

Every Thrive membership includes a structured path through the Sinclair Method, along with education, practical tools, and support from people who understand the journey firsthand.

• Thrive’s 3 Phases of TSM: Step-by-step guidance that helps members understand what to focus on at different stages of the Sinclair Method, from getting started to changing drinking habits and building a healthier relationship with alcohol.
• Video Courses & Educational Library: Practical lessons that explain the Sinclair Method and help members apply what they’re learning to everyday life.
• Tools & Tracking: Resources for tracking progress, understanding drinking patterns, and building new habits around alcohol.
• One-on-One Welcome Call: Personal support at the beginning of the program to help members get oriented and know where to start.
• Private Physician Directory: Access to TSM-knowledgeable medical providers for those who need help obtaining a prescription.
• Peer Community & Coach Support: A private, judgment-free community supported by experienced TSM coaches and mentors, many of whom bring their own lived experience with alcohol use disorder and the Sinclair Method.
• Unlimited Private Messaging: A way to reach Thrive’s coaching team directly with questions or for additional support along the way.

Depending on the membership plan, additional support may include:

• Live Groups, Workshops & Expert Q&As: Ongoing opportunities to learn, connect with other members, and hear from coaches, clinicians, and other experts.
• Dedicated One-on-One Coaching: More personalized support with an assigned coach throughout the Sinclair Method journey.

Rather than simply providing information about naltrexone, Thrive gives members a structured path through the Sinclair Method and a community of people who understand the process — so they have guidance, tools, and human support as their relationship with alcohol changes.

Yes. Every Thrive membership includes personal support in addition to the courses, tools, and peer community.

• A one-on-one welcome call: A private video or phone call to help members get oriented, understand the program, and know where to start.
• Unlimited private messaging: Members can message Thrive’s team of experienced TSM coaches and mentors with questions, share progress, or get additional guidance and encouragement along the way.

For members who want more personalized support, our Premium plans include dedicated one-on-one coaching with an assigned coach and scheduled private coaching sessions.

Thrive hosts live, interactive workshops and connection groups several times a week. They are spaced across morning, afternoon, and evening slots to fit different time zones.

A full, updated calendar with Zoom links is always available inside the member platform. Here is a typical monthly lineup.

👥 Weekly Group Support

These connection groups are led by experienced TSM coaches and mentors in a supportive, judgment-free space.

• Mondays, evening: group support with Coach Dave
• Tuesdays, morning: group support with Coach Bruce
• Thursdays, afternoon: group support with Coach Samara

🎓 Monthly Expert Workshops & Q&As

Members can also join regular workshops and Q&As with medical professionals, therapists, coaches, and other specialists.

• Naltrexone Q&A with medical advisor Dr. Joseph Volpicelli
• Trauma support workshop with trauma therapist Gabrielle Annett
• Moderate drinking workshop with Dr. Michele Perron
• Sinclair Method Q&As with the coaching team, every two weeks

✨ Community Livestreams

Thrive also hosts casual community livestreams on Tuesday afternoons, featuring coaches and guests who share real-world TSM strategies.

Yes, and privacy is a top priority at Thrive. The community platform is completely separate from public social media, so you can choose an anonymous username and profile image. Thrive never shares or sells your data.

No. Thrive does not require abstinence. The Sinclair Method is designed to be used while a person is still drinking, allowing change to happen gradually over time.

Members come to Thrive with different goals. Some want to drink less or less often, some want to develop long-term moderation, and others ultimately choose to become alcohol-free. Thrive supports members as they work toward the goal that feels right for them.

There is no pressure to choose abstinence or moderation from the beginning. The goal is yours to set.

Access is immediate. As soon as you join, you can log in to Thrive’s private member platform, where you’ll find the video courses, practical tools, physician directory, and private community all in one place.

Depending on your plan, you may also have access to live groups, workshops, expert Q&As, and dedicated one-on-one coaching.

Thrive can be accessed from a desktop or tablet, or through the mobile app, so you can stay connected to the program, community, and support wherever you are.

Yes. Thrive is available to members worldwide. The courses, tools, coaching support, live events, and private community can all be accessed online from outside the United States.

Because medical regulations vary by country, Thrive’s physician directory is currently limited to providers serving members in the United States. International members using the Sinclair Method will need to arrange their naltrexone prescription independently through a local physician or healthcare provider.

For those who already have access to naltrexone, Thrive can provide the education, tools, coaching, and community support to help them navigate the Sinclair Method in everyday life.

No. Medication and medical consultations are separate from your Thrive membership, so those costs are paid directly to the medical provider or pharmacy.

There are several options available depending on where you live, your provider, and whether you use insurance. For example:

• Some providers offer convenient mail-order medication delivered to your door
• Prescriptions can also be filled at a local pharmacy, where insurance may help with the cost
• Prescription amounts and refill options vary by provider and individual needs

As soon as you join Thrive, you’ll have access to our physician directory with options for getting started. During your welcome call, we can also walk you through the available telehealth options and help make the process feel simple and clear.

For estimated costs and a step-by-step look at how prescriptions work, visit our medication details page.

The short answer is no, medical consultations and prescription costs are handled separately. Because these clinical services are managed independently by our partner medical providers, it gives you complete freedom to choose the best option for your budget:

• Complete Freedom: Choose between a convenient mail-order bundle delivered to your door, or use your health insurance at a pharmacy counter in your state. You only pay for exactly what you use!

• Instant Access: The second you join, you’ll unlock our specialized physician directory right inside your platform dashboard.

• Full Support: We will happily walk you through the best telehealth options for your state step-by-step during your personal Welcome Call!

👉 Explore Your Options: For a full, transparent look at estimated costs and how the process works, check out our dedicated Medication Details Page.

That puts you a step ahead! The Thrive membership cost stays the same, but you can skip the physician referral step and get started with the program right away.

Many Thrive members already have a naltrexone prescription when they join and come to us for the support that goes beyond the medication — including our 3 Phases of TSM, practical tools, experienced coaches and mentors, and a community of people who understand the process firsthand.

If you already have your prescription, you’re welcome to jump right in.

Thrive memberships are not billed directly through traditional health insurance. However, if you have an HSA or FSA, your Thrive membership may be eligible for reimbursement, depending on your plan. While we can’t guarantee reimbursement, Thrive can provide documentation to help with your submission.

For medical consultations and medication, insurance options depend on the provider and pharmacy:

• Some telehealth and mail-order options are cash-pay only
• Some providers may accept insurance for medical visits
• Prescriptions filled at a local pharmacy may be eligible for insurance coverage, depending on the individual plan

During your welcome call, Thrive can walk you through the provider and telehealth options available in your state so you have a clearer idea of where to start.

Yes. Thrive offers a limited number of partial scholarships for people who want to use the Sinclair Method but need financial assistance to access the program. Approved scholarships reduce the membership cost by 50%.

To apply, simply contact the Thrive team and share a little about your situation and interest in the program. We’re happy to review your request and let you know what options may be available.

Thrive offers a 7-day money-back guarantee. If you join and decide within your first 7 days that Thrive isn’t the right fit, simply contact our team. We’ll cancel your membership and refund your payment in full.

After the first 7 days:

• Monthly memberships: You can cancel anytime from your account. Your membership will remain active through the end of your current billing period, and you won’t be charged again.
• Annual memberships: Annual plans automatically renew each year unless canceled before the renewal date. Thrive sends several email reminders before renewal so you have time to decide whether you’d like to continue.

We want our cancellation and renewal policies to be simple and transparent, with no surprises.