Remint Health

Somewhere between the woman you were and the woman you suspect you are becoming, there is a glass on the counter at ten in the evening, and a question you have not yet asked yourself out loud.

A woman holding a mug at a kitchen window in soft natural light

Remint Health is a women-only clinic for the three conditions that almost always travel together in a woman's life and are almost never treated together — the quiet escalation of a drink, the scattering of attention that began long before anyone gave it a name, and the sleep that has stopped arriving the way it used to.

We treat all three at once.

With medication where it helps. With therapy at the centre. With the integrative traditions — yoga, breathwork, Ayurveda, acupuncture — layered around the medicine the way good plaster is layered around good bones.

Take a breath. Slow your scroll. Read at the pace of a person reading a letter rather than a person being sold to. There is nothing on this page that asks for your name, and there is nothing on this page that will follow you home.

Talk to a doctor on WhatsApp

WhatsApp is the most private way to begin. The first reply is from a counsellor, not an automated system. You may write under any name. We will never call you unless you ask us to.

Most of the women who arrive at a page like this arrive at two in the morning.

You are not the only one here. You are not late.

You are, in fact, exactly on time for the conversation you have been quietly preparing to have with yourself for years.

Where are you?

Three soft doors

A hand-drawn teacup with steam, holding a small leafy branch

"I think something is off with my drinking."

Perhaps it began as a glass of wine on a Thursday evening and became three glasses on a Tuesday.

At some point the weekend stretched itself quietly into the weekdays, and no single evening felt like the one that crossed a line.

We will not call you anything you have not yet agreed to be called. We will sit with you instead, and look honestly at where the drinking sits on the long spectrum — from harmless ritual to harmful habit to something that has begun to organise your life around itself — and we will tell you what we see without flinching and without exaggerating.
A hand-drawn pillow on a bed with a crescent moon above it

"I cannot focus, I cannot sleep, I am exhausted in a way that rest does not fix."

If you are a woman in your thirties or forties and you have begun to wonder whether what you have been carrying is ADHD, or perimenopause, or burnout, or grief, or all four at the same time — you are asking exactly the right question.

These conditions overlap so completely in the female body that the medical world has spent two generations mistaking one for another and treating none of them properly.

We will untangle them with you.
A hand-drawn pair of hands clasped, holding a small green branch

"I am here for someone I love."

A mother. A sister. A daughter. A friend, or a colleague, whose absences from her own life have become a pattern you no longer know how to read.

The way in which you approach her — what you say, what you do not say, what you stop doing on her behalf — matters more than almost anything else that will happen in her recovery.

Begin here. We will begin with you.

A conversation.

Eight exchanges, of the kind we have most often

I do not think I am an alcoholic. I just drink most evenings to take the edge off.

What you have just said is, almost word for word, what most of the women I see say in their first twenty minutes with me. And the word alcoholic is one of the most clinically unhelpful words in the English language — because it is a verdict rather than a description, and it keeps thousands of intelligent women from getting help five or seven or ten years earlier than they otherwise would.

What I am going to ask you to do, instead of accepting or refusing a label, is to look with me at a different question entirely.

What is the alcohol doing for you in the evening that nothing else is currently doing?

Is it ending the day? Is it muting a sound that has been playing all afternoon? Is it the only thing that allows you to be in your own body without flinching?

There is always a job. The unconscious does not waste energy on rituals that are not earning their keep. And once we can name the job the drink is doing, we can begin, very slowly, to interview other candidates for that job — some of which are medications, some of which are practices, and almost all of which will leave you feeling more like yourself in the morning than the wine ever did.

— your Remint doctor

I have been told I am anxious my whole life. Could it actually be ADHD?

For a great many women, yes — and the reason this is missed for thirty or forty years is that the inattentive form of ADHD in girls does not look the way the textbooks describe it in boys.

It does not look like a child climbing furniture. It looks like a quiet girl who reads ahead in class because she has already lost the thread of the lesson. Who is praised for being thoughtful when she is in fact dissociating. Who becomes a perfectionist not out of ambition but out of terror — because perfectionism is the only strategy that has ever masked the underlying disorder well enough to keep her safe.

Then she becomes a woman. Her oestrogen begins to fall in her late thirties. And oestrogen is the hormone that has been quietly propping up her dopamine system her entire adult life.

Suddenly the masking strategies stop working. The tabs in her mind multiply. The wine arrives. And somebody, somewhere, writes anxiety on a chart.

The average woman in this picture receives her ADHD diagnosis at about forty — very often only after her own child has been diagnosed first, and she has read the questionnaire and recognised herself on every line of it.

— your Remint doctor

I cannot sleep. I drink to fall asleep. And then I wake at four in the morning anyway.

What you have described is one of the most reliable physiological events in the female nervous system after the age of about thirty-five. It has a simple mechanism behind it, and I would like to explain it to you, because understanding the machinery is the first step in being less afraid of it.

Alcohol is a sedative on the way in and a stimulant on the way out.

It depresses the central nervous system in the first hour after you drink it — which is why it puts you to sleep. Then your liver metabolises it over the next three to four hours. And as the alcohol leaves your bloodstream, the nervous system rebounds. Cortisol rises. Heart rate climbs. You wake at exactly the hour the last molecule has been cleared.

This is not character weakness. This is biochemistry following its instructions.

We will address the sleep first. Because once the sleep is restored, the evening drink loses its primary alibi, and the entire architecture of the habit becomes very much easier to take apart — one calm decision at a time.

— your Remint doctor

I am afraid of medication. I do not want to be on something forever.

That fear is honest, and I would rather hear it from you in your first conversation than three months in.

Let me tell you about the medicines we actually use, because the public conversation about psychiatric medicine is conducted in two registers — terror and salvation — and the truth lives in the calmer middle.

I will name them. I will tell you what each one does, what it costs your body, and how long you might reasonably expect to take it.

None of these is forever. Most women take them for three to nine months while they rebuild what sits underneath, and then we taper them deliberately. You will know exactly what is happening at each step, because we will write it down for you.

The full medication landscape sits in the Treatment section below — please read it when you are ready.

— your Remint doctor

I have read about something called the Sinclair Method. Is it real? Would it work for me?

It is real. It has been studied for more than thirty years. And for a particular kind of woman — usually one who is not yet ready to stop entirely, but who is exhausted by the daily losing argument with herself about the next drink — it is one of the most elegant interventions we have.

The method was developed by Dr John David Sinclair, a Finnish-American researcher who observed something the rest of psychiatry had missed.

He noticed that the brain learns to want alcohol through the same Pavlovian reward conditioning that teaches any animal to repeat any behaviour. And he reasoned that if you sever the reward from the behaviour for long enough, the learning, very quietly, runs in reverse.

The protocol is this.

You take fifty milligrams of naltrexone exactly one hour before you drink, and only on days that you drink. You continue to drink as you normally would.

The naltrexone occupies the opioid receptors. The alcohol arrives. And the usual euphoria — the warm small wave that has made you reach for the second glass and the third — simply does not appear.

Over weeks and months the brain's association between drinking and reward begins to extinguish, the way a fire goes out when you stop feeding it oxygen.

The published outcomes suggest that approximately three quarters of patients who follow the protocol with care see significant reduction in their drinking. A substantial minority become indifferent to alcohol altogether.

It is not magic. It requires discipline with the timing of the dose. It requires honesty in the diary you will keep. But for a great many women it is the most dignified path out of a problem they had begun to fear was insoluble.

We will talk about whether it is right for you on the first call.

— your Remint doctor

What kind of therapy will I actually be doing?

There are four traditions we draw on, and I want to describe each of them honestly, because the word therapy has been so flattened by overuse that women often arrive here imagining it means one thing when in fact it might mean several quite different things.

The first is Cognitive Behavioural Therapy, or CBT, which is the modality with the most research behind it for alcohol use specifically. It is not the soft-focus enterprise its critics imagine. It is, in essence, the practice of finding the small repeating thought that precedes the drink — I have had a hard day, I deserve this, I cannot face the evening without it — and learning to insert a slower thought between the stimulus and the response.

The second is the 12 Steps, which I would like to spend a moment on personally, because I have a strange relationship with their origin. In 1961 a man named Bill Wilson, the founder of Alcoholics Anonymous, wrote me a letter thanking me for what he said was the spiritual seed of the entire movement. Years before, I had treated a patient named Rowland H. for chronic alcoholism, and after exhausting what medicine could offer him, I told him plainly that what he needed was not a medication but a spiritual experience — a vital spiritual experience, in the old sense of the word. Rowland found his way to the Oxford Group, the Oxford Group reached Bill Wilson through an intermediary, and the framework I had described to one man became, eventually, the framework that has helped several million.

I wrote back to Bill Wilson, and I told him what I have continued to believe: that the craving for alcohol is, on a low level, the spiritual thirst of our being for wholeness. Spiritus contra spiritum. The Latin word for alcohol and the Latin word for the deepest religious experience are the same. The drink is, very often, a misplaced reach for the thing the soul has been quietly asking for all along.

The 12 Steps are not for everyone. They are not always for women in particular, because the language of powerlessness in the first step has, for some women, an uncomfortable echo of the powerlessness they have already been asked to perform in too many other rooms. But for the woman for whom the spiritual frame speaks honestly, they remain one of the most enduring recovery traditions on this earth — and we are happy to work alongside them.

The third is Rational Emotive Behaviour Therapy, or REBT, developed by Albert Ellis. REBT is, in its bones, a philosophical practice. It teaches you to identify the rigid demands you are placing on yourself and on your circumstances — I must have a drink to relax, I cannot stand the evening without it, it is awful if I am uncomfortable for an hour — and to dispute them, one by one, until the demand softens into a preference and the preference loses its grip.

The fourth is urge surfing, which is not strictly a therapy but a technique drawn from Mindfulness-Based Relapse Prevention. It is so practical that I want to teach it to you here, on this page, before you have even booked a call — because you may need it tonight.

— your Remint doctor

A take-away · use this tonight

Urge surfing.

An urge to drink is not a command. It is a wave.

Waves rise. Waves peak. Waves fall. Most urges last between twenty and thirty minutes, and almost none last more than an hour — even though, from inside the urge, it can feel as though it will last forever.

When the urge arrives, do not fight it and do not give in to it. Do this instead.

Sit down. Place a hand on your chest. Notice where the urge lives in your body — most often the throat, the stomach, or behind the eyes. Breathe in for four counts, out for six. Watch the urge the way you would watch a wave rise on a beach.

It will peak. It will fall. You will still be sitting there. And the next urge will be slightly smaller than the one you just rode.

I am forty-four. Am I losing my mind, or is this perimenopause?

It is almost certainly perimenopause. And there is a reasonable likelihood that there is an undiagnosed ADHD beneath it, that your earlier hormonal life had kindly concealed from you.

The two of them are now exposing each other.

Oestrogen, as I said, props up dopamine. Dopamine is the neurotransmitter most directly responsible for being able to begin a task, sustain attention upon it, and feel a small wave of satisfaction at its completion.

When oestrogen begins its long uneven decline somewhere between thirty-eight and forty-five, the dopamine system loses its scaffolding. Women with undiagnosed ADHD — who had been getting by on hormonal goodwill — suddenly find themselves unable to do the things that came naturally a year before.

We screen for both conditions together at Remint. Because treating one without the other is the single most common reason that intelligent women remain stuck in a fog for half a decade longer than they needed to.

— your Remint doctor

Will anyone know I came here? My doctor, my husband, my employer?

No. And I want to explain to you exactly why — because the anonymity of this clinic is not a feature we added to make you more comfortable. It is a clinical decision we made at the foundation.

A great many women will not seek help at all if the cost of seeking it is a permanent record.

You may register under a name of your choosing. Audio-only sessions are the default, not the exception. Your prescription arrives in unbranded packaging from a shipping name unconnected to any medical entity.

We do not communicate with your general practitioner, your insurer, your spouse, your parent, your employer, or anyone else, ever — unless you have asked us to do so in writing, and you have specified what may be shared and with whom.

Privacy at Remint is the architecture of the building, not the curtains in the window.

— your Remint doctor

You do not have to know yet what is wrong with you.

The unconscious has been working on this question on your behalf for much longer than you have been consciously aware of asking it.

It is asking you now to bring only one thing into the room: a small, stubborn, almost unreasonable curiosity about your own life.

Private · nothing stored · nothing shared

A private check-in.

Three questions. Sixty seconds.

Question 1 of 3

In the past two weeks, how often have you taken a drink in order to calm yourself, to sleep, or to get through something you did not feel you could otherwise get through?

Substance use. ADHD. Sleep.

In a woman's body, in a woman's life, these are not three problems but one weather system with three names.

A watercolour Venn diagram of three overlapping circles labelled substance use, ADHD, and sleep

Substance use

Most often alcohol. Sometimes prescription sleep medication that began as a short course five years ago. Sometimes cannabis that has quietly become a daily evening companion.

We assess where you sit on the long spectrum of harmful use. We tailor from there.

Some of the women who come to us want to cut down. Some want to stop entirely. Some are not yet sure. All three goals are honourable, all three are clinically defensible, and none of them is treated as a moral failure here.

ADHD

Particularly the late-diagnosed inattentive form. The kind that was called lazy in school, scattered in your twenties, anxious in your thirties.

The kind that hides beneath the surface of an overachieving life and waits for hormonal collapse to expose itself.

We diagnose using DSM-5-TR criteria adapted with full attention to the female presentation. We treat with a layered combination of medication, therapy, and structural coaching — because medication alone organises the brain, but not the kitchen.

Sleep

Insomnia. Early-morning waking. Restless sleep that leaves you wrecked at noon.

We approach sleep last in the list of pillars but first in the order of treatment, because a sleep-deprived nervous system cannot do the work the other two pillars require.

We look in this order: hormones, alcohol, anxiety, circadian rhythm. The majority of what is called insomnia in women over thirty-five is in fact one of those four wearing insomnia's clothes.

Treatment, in layers.

Three layers of care, from most medical to most integrative. Never framed as alternatives — only as floors of the same house.

Layer one

Medications.

I will name each medicine. I will tell you what it does inside your body. I will tell you its common side effects, what it costs you, and how long you might reasonably expect to take it.

A woman who has been frightened by the idea of psychiatric medicine for twenty years deserves to know exactly what molecule will be doing exactly what work, and under what conditions you might choose to stop.

For alcohol use

Naltrexone

A mu-opioid receptor antagonist. Most often dosed at fifty milligrams orally, either daily or one hour before a planned drink in the Sinclair protocol.

It is not sedating. It is not addictive in any pharmacological sense. It does not alter your mood and it does not make you high. What it removes is the small endogenous opioid reward that alcohol elicits — not the alcohol itself.

Most common side effect: mild nausea in the first week, which usually settles within seven to ten days. We monitor liver function before and during treatment. A long-acting injectable form (Vivitrol) is available where licensed, given once monthly.

Acamprosate

A glutamate-and-GABA modulator. Dosed three times daily, usually 666 mg per dose.

It is most useful in the woman who has already stopped drinking and is working to stay stopped. What it eases is the long, low background hum of post-acute withdrawal — the restlessness, the sleeplessness, the irritability — that can last for months after the last drink.

It is not sedating. It does not interact significantly with alcohol or with most other medications. Its effect is gentle, cumulative, and best measured over months rather than days. The COMBINE trial showed naltrexone and acamprosate can be used together, and we sometimes do.

Disulfiram (Antabuse)

The oldest of the alcohol-use medications. It blocks the enzyme aldehyde dehydrogenase.

Any drink taken on it produces an immediate, unpleasant physical reaction — flushing, headache, nausea, racing heart.

We use it selectively, almost always at the patient's specific request. It is the firmest of the guardrails we offer, and we discuss it carefully before prescribing.

Gabapentin

An anticonvulsant that has accumulated reasonable evidence for alcohol use disorder, particularly in women with co-occurring insomnia and anxiety.

Dosed in the evening, it can ease sleep onset and reduce cravings simultaneously.

Side effects are usually mild — drowsiness, occasional dizziness. We dose carefully and we taper deliberately.

Topiramate

Another anticonvulsant with established efficacy for alcohol use disorder. It works on glutamate and GABA systems in a different way to acamprosate.

We use it occasionally — most often in women who have not responded fully to naltrexone, or who have co-occurring migraines, since it also helps with those.

The cognitive side effects (the so-called dopamax effect) require us to titrate slowly and watch carefully.

Baclofen

A GABA-B agonist, used at higher doses than its original muscle-relaxant indication.

The evidence is uneven but real, particularly in women with anxiety-prominent drinking or with liver disease that makes other medications less suitable.

We use it less often than the medicines above, but we have it in the cabinet.

For ADHD

Stimulants

Methylphenidate (Ritalin, Concerta) and the amphetamine class (Adderall, Vyvanse). They increase dopamine and norepinephrine availability in the prefrontal cortex — the part of the brain responsible for planning, sustained attention, working memory, task initiation.

In an adult woman with genuine ADHD, dosed correctly, the abuse liability is very low. And importantly, treating the underlying disorder tends to reduce substance use overall.

We dose with awareness of cyclical hormonal variation, which most prescribers do not. The same dose can perform differently in the follicular phase and the luteal phase, and we adjust accordingly.

Non-stimulants

Atomoxetine (Strattera) — a noradrenaline reuptake inhibitor, useful in women who do not tolerate stimulants, or whose history makes stimulants clinically inappropriate.

Guanfacine and clonidine — originally blood-pressure medications, sometimes used as adjuncts where there is sleep disturbance or sympathetic over-activation.

Bupropion — occasionally useful where ADHD and low mood travel together.

For sleep

We avoid benzodiazepines (lorazepam, diazepam, alprazolam) and the so-called Z-drugs (zolpidem, zopiclone) for long-term use. Their cost-benefit ratio in chronic insomnia is poor, and the dependence risk is real.

Where short-term pharmacological support is needed, we lean on:

  • Trazodone at low dose (25–100 mg), an older antidepressant whose mild sedating effect is useful and whose dependence risk is essentially nil.
  • Doxepin at very low dose (3–6 mg), a tricyclic with a particular affinity for histamine-1, useful for women whose insomnia is one of sleep maintenance rather than sleep onset.
  • Melatonin (sustained-release, 2 mg in the early evening) for circadian-rhythm work.
  • Ramelteon, a melatonin receptor agonist, where licensed.

But the first-line treatment for chronic insomnia is not a pill. It is CBT-I — Cognitive Behavioural Therapy for Insomnia — which has the strongest evidence base of any sleep intervention in the published literature, and which we offer as a core part of our sleep programme.

Layer two

Therapy.

The word therapy has been so flattened by overuse that I want to give you a proper account of the four traditions we draw on. Each does a different kind of work. Each is useful for a different kind of woman. Several may be useful to the same woman at different points in her recovery.

Cognitive Behavioural Therapy (CBT)

The most research-supported modality for alcohol use disorder.

CBT teaches you to find the small repeating thought that precedes the drink, the feeling that arises from the thought, and the action that follows the feeling — and to interrupt the chain at the earliest point you can.

Most women begin with the HALT check: when you find yourself reaching for the drink, ask whether you are Hungry, Angry, Lonely, or Tired. Four states that are biologically driven, easily addressed, and chronically mistaken for the desire to drink.

We also teach the play-the-tape-through technique: when the drink calls, pause and play the tape forward an hour, three hours, eight hours — the wakefulness at four in the morning, the foggy school run, the meeting you cannot prepare for. The future self gets a vote.

The 12 Steps

The longest-running recovery framework on earth, with a strange and (to me) personal history.

In 1961 a man named Bill Wilson, the founder of Alcoholics Anonymous, wrote me a letter thanking me for what he said was the spiritual seed of the movement.

Years before, I had treated a patient named Rowland H. for chronic alcoholism. After exhausting what medicine could offer him, I told him plainly that what he needed was not a medication but a spiritual experience — a vital spiritual experience, in the old sense of the word, the kind that re-orders the whole of a life around something larger than itself.

Rowland found his way to the Oxford Group, which reached Bill Wilson through an intermediary, and the framework I had described to one man became, eventually, the framework that has helped several million.

I wrote back to Bill Wilson, and I told him what I have continued to believe.

The craving for alcohol is, on a low level, the spiritual thirst of our being for wholeness. Spiritus contra spiritum. The Latin word for alcohol and the Latin word for the deepest religious experience are the same. The drink is, very often, a misplaced reach for the thing the soul has been quietly asking for all along.

The 12 Steps are not for every woman. The language of powerlessness in the first step has, for some women, an uncomfortable echo of the powerlessness they have already been asked to perform in too many other rooms.

But for the woman for whom the spiritual frame speaks honestly, the Steps remain a profound technology of recovery — and we are happy to work alongside any meeting you choose to attend.

Rational Emotive Behaviour Therapy (REBT)

Developed by Albert Ellis in the 1950s. The grandfather of CBT, and in some ways the more philosophically rigorous parent.

REBT teaches the ABC model: an Activating event leads to a Belief about that event, which leads to a Consequence — an emotion or behaviour. Most people imagine that the event causes the consequence directly, but the belief is the hinge.

Example. Activating event: a hard day at work. Belief: I cannot bear another evening without a drink, it would be intolerable, I deserve this. Consequence: the drink, and everything downstream of it.

REBT disputes the belief. Is it true that you cannot bear another evening? Is it true that an uncomfortable hour would be intolerable? Is it true that you deserve this — and is the drink, in fact, the form of self-care this belief is dressed up as?

Ellis called the rigid demands beneath these beliefs musts — and he believed that the practice of catching and dismantling our musts was the most reliable form of psychological freedom available to a human being.

For some women, REBT is the most useful therapeutic frame they will ever encounter. It is direct, philosophical, and unsentimental.

Urge surfing & Mindfulness-Based Relapse Prevention (MBRP)

Developed by Alan Marlatt and Sarah Bowen, with randomised controlled trial evidence behind it.

The central insight is that an urge to drink is not a command but a wave.

Most urges last twenty to thirty minutes. Almost none last more than an hour. From inside the urge it can feel as though it will last forever, but the body cannot, in fact, sustain that level of physiological arousal indefinitely — and if you observe the urge without acting on it, it will fall.

The practice is simple. You sit. You notice where the urge lives in the body — the throat, the chest, behind the eyes. You breathe slowly, four in and six out. You watch the wave rise, peak, and fall.

You do not fight it and you do not give in to it. You ride it. And the next urge is, almost always, smaller than the one you just rode.

We teach urge surfing in the first week of treatment, because it is the technique you can use tonight, before any medication has begun to work and before any therapy has unfolded.

Layer three

Integrative care.

The third layer. Useful, real, and never offered as a substitute for the first two.

A woman seated in meditation, shot from behind, in warm window light

Yoga & breathwork

Specifically the slow, nervous-system-regulating traditions, not the gymnastic kind sold to tourists.

We use yoga for vagal-tone work — for the daily practice of returning to a body that has been treated as an inconvenience for too many years.

Ayurvedic consultation

Daily rhythm. Food timing. Herbs where appropriate, integrated with your medical plan, never instead of it.

The herbs we most often use:

  • Ashwagandha — for cortisol modulation in women whose nervous systems have been running hot for years. The published evidence on this herb is now substantial.
  • Brahmi — for cognitive support, particularly in the perimenopausal fog.
  • Triphala — for the digestive layer that almost always needs attention in a woman whose nervous system has been chronically dysregulated.
A small bowl of warm tea with Ayurvedic roots and fresh herbs on a wooden table

Acupuncture

The NADA protocol — five auricular points used for craving reduction, with a modest but real evidence base, particularly in early recovery.

General body acupuncture for sleep onset, with smaller but real evidence.

Mindfulness-Based Relapse Prevention

Already described above. Sits comfortably in this layer too, because its practices are as much spiritual as they are clinical.

Medication is not weakness.

Therapy is not indulgence.

The integrative traditions are not a substitute.

The three of them, laid carefully on top of one another, are what works. And they have always been what works. The only novelty in our offering is that we have stopped pretending otherwise.

What we hear, and what we know.

Tap any card to read the reply.

Myth

"I should be able to handle this on my own."

Tap to flip →
What we know

The idea that recovery is a matter of willpower is one of the most expensive cultural inheritances of the twentieth century. It has cost women, in particular, more dignity and more years than almost any other unexamined assumption. What works is structure. Medication where appropriate. The right therapist. The company of people not asking you to perform recovery for them.

Myth

"Naltrexone is just trading one drug for another."

Tap to flip →
What we know

Naltrexone is, in mechanism and in feeling, nothing like the substance it is treating. It does not produce euphoria. It does not produce sedation. It produces no high and no low. It occupies a receptor. That is all. You will not feel different on it. You will, in time, feel different about the alcohol.

Myth

"ADHD medications are addictive."

Tap to flip →
What we know

In an adult woman who has genuine ADHD and is dosed appropriately, the abuse liability of stimulant medication is low. And, importantly, treating the underlying disorder tends to reduce substance use overall — because the dopaminergic shortfall that drove the self-medication is finally being addressed at its source.

Myth

"It is just menopause. I will get through it."

Tap to flip →
What we know

The relationship between perimenopause and ADHD symptom flare is real, measurable, and treatable. The seven-year duration of the average perimenopause is not a sentence you are obliged to serve in silence. You may serve it in silence if you wish. But please do not let anyone tell you that you must.

Myth

"I have to hit rock bottom first."

Tap to flip →
What we know

You do not. The women who do best in treatment, statistically and clinically, are the ones who arrived while still functioning. The rock-bottom narrative is a hangover from a particular twentieth-century recovery culture, and it has cost a great many women a great many years of an otherwise recoverable life.

Myth

"Alternative medicine is anti-science."

Tap to flip →
What we know

Some of it is, and we do not use the parts of it that are. The protocols we offer — MBRP, CBT-I, NADA auricular acupuncture, specific Ayurvedic herbs with peer-reviewed evidence — sit in the small but real overlap between traditional practice and contemporary clinical research. We are picky on your behalf.

Myth

"They will contact my doctor and my insurance."

Tap to flip →
What we know

We will not, unless you ask us to in writing, and you specify exactly what may be shared and with whom. The default is that nothing leaves this clinic.

Myth

"The medication box will give it away."

Tap to flip →
What we know

Plain. Unbranded. With a shipping label from a neutral name. It looks like every other parcel that arrives at every other doorstep in your neighbourhood. Designed, on purpose, to be uninteresting.

Privacy is the architecture

Anonymous, not merely discreet.

Most clinics will tell you they are confidential, which means they will hold your information carefully once they have collected it. We have built Remint so that, by design, there is very little to hold in the first place — and what there is, is held by us alone.

No legal name required

You may register under a name of your choosing. Prescriptions, where law permits, can be issued under a pseudonym, with your legal name held in encrypted form accessible only to your prescribing clinician and the dispensing pharmacist.

No video required

Audio is the default at Remint, not the exception. Many of our patients prefer it. Some require it. We do not regard the choice of audio over video as a clinical compromise.

Unbranded delivery

Your monthly medication arrives in plain shipping packaging. No clinic name. No logo. No clinical language anywhere on the outside. A shipping name that is a neutral registered business unconnected to medicine.

Nothing shared without written request

Not with your general practitioner. Not with your insurer. Not with your spouse, your parent, or your employer. The data lives with us and only with us. You may ask to see it, or to have it deleted, at any time.

How it works.

From the first call to your fourth refill.

  1. 1

    A twenty-minute call. Free. Anonymous.

    You book a slot. You choose audio or video; audio is the default. You may use any name.

    The doctor listens, asks a small number of careful questions, and tells you honestly what the early picture appears to be.

    Nothing is prescribed. Nothing is decided.

  2. 2

    A clinical assessment.

    A second, longer conversation. Approximately forty-five minutes.

    We move slowly through the territory: sleep, cycle, drinking history, ADHD screening, mood, and — when you are ready, never before — the trauma history that often sits underneath all of it.

    This is the conversation from which a real plan can be written.

  3. 3

    Your treatment plan, in plain language.

    You receive a written plan in clear English (or Hindi, or another language on request).

    It lists what medication has been recommended and why. What the therapy cadence will be. What integrative-care layer might be useful for your particular constellation of symptoms.

    You may ask questions, decline any element of it, or take a week to think.

  4. 4

    Medication, delivered.

    The same week each month. Unbranded packaging. A printed dosage guide. A short handwritten note from your doctor. Any integrative add-on that is part of your plan.

    If a delivery is ever delayed, for any reason, we call you the same day.

  5. 5

    Ongoing care.

    A short check-in call every four weeks.

    Therapy on whatever cadence you and your therapist agree on. Most commonly weekly.

    Twenty-four-hour message access to your doctor for anything urgent.

    Taper or stop medication when you and your doctor decide together that the time is right — never on a corporate timeline.

The same week. The same door. The same plain box.

A plain unbranded cardboard box on a sunlit terracotta doorstep, beside a doormat and a potted olive plant
  • ✓ Your prescribed medication, thirty-day supply, lab-verified
  • ✓ A printed dosage and timing guide, in your language
  • ✓ A short handwritten note from your doctor — handwritten, not printed
  • ✓ An Ayurvedic or breathwork add-on, where it is part of your plan
  • ✓ A pre-paid return envelope for any unused medication
  • ✓ A reminder card with the date of your next check-in call

  • There is no subscription that must be cancelled by phone. There are no auto-charge surprises. You may pause, change, or stop at any time, from your account, in two clicks.

Shared with her permission · name changed

One woman's story.

A woman's open hand resting on a soft linen cushion in warm afternoon light

I came to Remint at forty-one, after about six years of drinking wine every evening. Never more than a bottle, but rarely less than three glasses. It had become the small reliable comma between the day and the night — the punctuation of an otherwise unpunctuated life.

I was tired in a way that no weekend repaired. I had begun forgetting the names of people I had known for twenty years. My GP had just put me on a sleep medication that I knew, in the quiet way one knows these things, was the wrong direction.

On the first call the doctor asked me a question that no one had asked me in any of the previous appointments I had endured. She said: when did the drinking begin to feel necessary, rather than merely pleasant? I answered without thinking — after my second daughter was born. And she said, very calmly: that tracks. We will also look at whether there is something underneath that has been there for much longer than that.

Six months later: an ADHD diagnosis I had not been looking for. Naltrexone on the Sinclair protocol for the first three months, then daily for two more. Off the sleep medication. Sleeping through the night for the first time since I was twenty-five. Twenty minutes of breathwork in the morning, more out of curiosity than discipline. A therapist every fortnight.

I am not cured. Cured is the wrong verb for what has happened. I would say, rather, that I have been returned to myself.

— "Anjali," 42. Not her real name. Her real story.

Things women ask us.

Honest answers. Sometimes long ones.

Will anything appear on my medical history or insurance record?
Only if you ask us to file with insurance, which we discourage for precisely this reason.

By default, nothing about your care at Remint is shared with any other provider. You pay us directly. We hold your records. They do not leave this clinic without your written permission, with a specific instruction about what may be shared.
What does the medication packaging actually look like?
A plain brown or white shipping box. No logo. No clinic name. No mention of what is inside, anywhere on the outside.

The shipping label uses a neutral business name we have registered for this purpose. It looks like any e-commerce parcel.
What if my partner, parent, or housemate sees the box?
They will see a parcel that is visually indistinguishable from any other parcel that arrives in an Indian urban household — Amazon, Nykaa, Myntra.

If you would like additional discretion, we can ship to an alternative address you nominate, including a workplace or a friend's address.
Can I use a name other than my legal name?
Yes. We use your chosen name in all communication.

Where law requires the legal name on a prescription, that information is held encrypted, accessible only to your prescribing clinician and the dispensing pharmacist. It does not leave that loop.
How is Remint different from AA or rehab?
AA is peer support. Group-based. Often spiritual. Valuable for many, unsuited to many others, and structurally public in a way that does not work for women who cannot risk being seen.

Rehab is residential, intensive, expensive — and for the woman who is still functioning, frequently disproportionate.

Remint is what sits between them. Medical care, therapy, and integrative support, delivered privately, to your home, on your schedule.
I am pregnant or planning to be. Is medication-assisted treatment safe?
Some MAT medications are safe in pregnancy; others are not. Naltrexone has a more limited safety profile in pregnancy, and we discuss it carefully on a case-by-case basis.

We screen for pregnancy and pregnancy intent on the first call, and we are explicit about what is appropriate in your particular situation. We will coordinate with your obstetrician only if you ask us to.
Do you take insurance? What does this cost?
We are a direct-pay clinic by design. A deliberate decision, not a financial accident — because direct payment is what keeps your care entirely off any insurance record.

Pricing is published transparently before you book a call. Most of the women in our care spend less per month here than they used to spend on alcohol.
What if I am not sure I want to stop drinking entirely, only to cut back?
That is one of the most common goals among the women who come to us. It is fully legitimate clinically.

We work with abstinence goals and moderation goals with equal seriousness. The Sinclair Method is specifically designed for the woman who wants to remain a drinker but wants the drinking to lose its grip.
How do I know whether it is ADHD or only burnout?
You probably do not yet, and that is what the assessment is for.

Burnout improves substantially with rest. ADHD does not. We can usually distinguish them within the first two appointments.

Where they coexist — which they often do — we treat them in the right order.
Can I have the integrative-care part without the medication?
Yes. We do not press medication on any patient.

Approximately one in five of our patients uses therapy and integrative care only, without pharmacotherapy. The plan is yours; we advise.
What happens if I miss a dose, relapse, or disappear for two weeks?
You come back. That is the entire policy.

No lecture. You are not dropped from the programme.

Relapse, for many people, is part of the longer arc of recovery, and we plan for it explicitly rather than pretending it does not happen.

Three doors. Pick the one that fits today.

No one will follow up unless you ask.

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If you are in crisis at this moment, please call iCall on 9152987821 (Monday to Saturday, 8 am to 10 pm) or AASRA on 9820466726 (24/7).

We will be here when you are ready.