Firehorse Health · Founded 2026

Turning breakthrough experiences into lasting transformation.

Firehorse Health is a 6–12 month behavioral science-driven program that extends the durability of psychedelic medicine — pairing licensed clinicians with an AI-adaptive digital platform that personalizes support between sessions. The two operate as one continuous system, designed to turn breakthrough experiences into lasting behavioral change.

Stay informed In active development · Pre-seed round 2026
01 — Our Thesis
The medicine creates a window. Behavioral science determines whether the change lasts — not just for weeks, but for life.

Psychedelic medicine is opening a transformational chapter in mental health. Patients describe profound shifts after a single experience — relief from depression, anxiety, addiction, and existential distress that years of conventional treatment never delivered.

And yet, within months, most return to where they started. The window of openness closes. The insights fade. The patterns return. The science of how to make these experiences last has not yet been built into the system of care.

Firehorse Health is built to fill that gap.

02 — The Gap

Transformational medicine. No scalable wraparound program.

Existing integration options are fragmented, limited in scope and duration, and not designed for scale. The comprehensive behavioral infrastructure that made GLP-1s, mental health treatment, and chronic disease management durable hasn't been built for psychedelics yet.

The Durability Gap
1 in 2

Outcomes don't last.

Across major depression, anxiety, and substance use disorders, roughly half of patients return to baseline within months of psychedelic intervention. The medicine creates a window. Without sustained behavioral support, it closes.

The Economics Gap
$30K/yr

Expensive medicines, unprotected investment.

Spravato alone runs $30K per patient per year — with 2–3 re-inductions after relapse. A $3–6K integration layer can extend response durability 3× and save payors $10–15K per patient annually.

The Infrastructure Gap
0

No scalable system exists.

What's missing isn't just digital tools or just more clinicians — it's a system that combines both in a single program. Nothing has been built that integrates human-led care with AI-adaptive support to produce outcomes payors and employers would recognize at scale.

03 — The Firehorse Method

A 6–12-month program, structured around the neuroplasticity window.

Psychedelics produce a brief, biologically distinct window — typically 2–8 weeks, depending on the compound — during which the brain is uniquely receptive to new patterns of thought, emotion, and behavior. Firehorse is built around this window, with licensed clinicians and an AI-adaptive digital program operating in tandem across a 6–12-month arc. Human-led care. Between-session digital support. Both adapting together.

▲ Neuroplasticity Window · 2–8 weeks ▲
Weeks 1–3
Preparation
Mindset · intention setting · readiness
Week 4
Experience
Medicine session with partner provider · AI voice memo capture
Weeks 5–8
Peak Window
AI-powered themes · meaning-making · therapeutic processing
Months 2–4
Values & Vision
Goal setting · action planning · habit formation · peer support
Months 5–6
Habit Consolidation
Coaching · lifestyle medicine · AI-driven self-monitoring
Months 7–12
Lasting Change
AI feedback loops · reinforcement · social support · outcomes
Spanning the full 12 months —
Integration 1:1 therapy & coaching MI & ACT frameworks AI-native personalization
The Program
Behavioral Science-Driven Virtual Care
How It Works
Clinicians + Digital, One Continuous System
Licensed clinicians and an AI-adaptive digital platform working in tandem — each informing the other, continuously
01 · Human-Led Care

Licensed Clinicians, Firehorse-Employed

Therapy: ACT-based processing, pattern work, preparation and integration. Coaching: lifestyle medicine, habit formation, behavioral activation. Group: peer cohort integration across the 6–12-month arc.

02 · AI-Adaptive Support

Between-Session Intelligence

The digital platform reads real-time signals from each participant and personalizes support between clinical sessions — surfacing insights, personalizing content, providing in-the-moment behavioral reinforcement, and feeding data back to the care team.

03 · Outcomes

Validated Evaluation

Continuous measurement visualized for the participant as progress — and aggregated as peer-reviewed evidence and payor-grade data.

The Result
Clinically Meaningful Outcomes
Insightful to participants. Compelling to payors.
04 — The Program Experience

From a single profound insight to twelve months of measurable change.

A glimpse into how the combined clinical program works in practice. Meet Marie — 48, Marketing Director in Chicago, navigating depression and anxiety, perimenopause, and an empty nest. Here's how Firehorse meets her in the window: what the AI surfaces, how her clinician translates that into goals, and how the program walks with her through twelve months of measurable change.

MC
Marie C.
A representative participant
Age 48 · Role Marketing Director · Location Chicago · Status 1 week post-experience
01 · Capture
Insight surfacing
Voice memo. AI surfaces the themes.
8:47● ● ●
FIREHORSE ·
Tues · Day 18
Voice Memo
2 min · this morning
▶0:00 / 2:14
AI INSIGHT
"I kept coming back to one thing — I've been performing my life, not living it. I want to feel like my authentic self again."
authenticity performance reclaiming
Build your pathway→
02 · Personalize
Adaptive care pathway
6–12 months, tuned to her insights.
2:15● ● ●
FIREHORSE ·
Your pathway
Month 1 of 6+
Active integration phase
22% complete
FRI
Coaching check-in
Sleep + boundaries
○
SUN
Integration journal
Guided reflection
○
NEXT WK
Cohort circle
Live group · 6 peers
○
Tuned to your insights · updated weekly
03 · Anchor
Transformative goals
Mind, body, spirit — drawn from her insights.
11:09● ● ●
FIREHORSE ·
Your goals
Drawn from your insights and shaped with Dr. Chen.
Mind
Reduce rumination. Reclaim my authentic voice.
Body
Restore sleep. Weekly gentle yoga.
Spirit
Weekly nature time. Reconnect with two old friends.
Goals revisit every 90 days
04 · Practice
Daily action plan
Insights become habits. Small, intentional, AI-nudged.
4:38● ● ●
FIREHORSE ·
Today
WEDNESDAY · MAY 14
Morning breath · 5 min
Body · sleep restoration
Voice memo journal
Mind · pattern noticing
Yoga · 30 min · 6pm
Body · weekly anchor
Text Maya — walk?
Spirit · reconnect & nature
AI NUDGE · 4:30PM
"You journaled about Maya twice this week. A walk in the park is both connection and nature — two birds, one text."
05 · Measure
Validated outcomes
Same data flows to clinicians and payors.
9:52● ● ●
FIREHORSE ·
6-month review
Your transformation
Baseline → 6 months · validated measures
PHQ-9 · Depression−68%
Severe · 18Mild · 6
GAD-7 · Anxiety−61%
Severe · 16Mild · 6
WEMWBS · Wellbeing+47%
Low · 36High · 53
CLINICAL SUMMARY
Sustained remission. Authentic self reclaimed.
Illustrative concept · in active development
05 — Built on Research

The field knows what's missing. We're building it.

"Substantial changes to current systems of care will all be required to accommodate psychedelic-assisted therapy."
Nicol et al. · Nature Human Behaviour · 2025
Across psychedelic therapies for depression, anxiety, and substance use, durability of benefit varies widely — and sustained therapeutic outcomes appear to depend on what happens after the experience.
Yaden et al. · Nature Reviews Psychology · 2024
Medication outperforms placebo. Therapy outperforms medication. Combined treatment outperforms either alone — across depression, anxiety, and chronic disease.
Cuijpers et al. · World Psychiatry · 2020
06 — Leadership

Founded at the intersection of behavioral science, clinical rigor, and digital health at scale.

Sarah Linke, PhD, MPH

Sarah Linke, PhD, MPH

Founder & CEO · Clinical Psychologist · Behavioral Scientist

Sarah brings a rare combination of clinical depth, scientific rigor, and operational experience building digital health programs at scale. Most recently at Omada Health, she led the behavioral science and clinical outcomes strategy that shaped the go-to-market for the company's market-leading GLP-1 companion program — building the payor-relevant evidence base that helped establish Omada as the category standard and contributed to its 2025 IPO.

Her career spans academic medicine at UC San Diego and the VA healthcare system, behavioral science research with 100+ publications, and the operational work of translating evidence into programs that produce real, measurable change. The through-line: turning behavioral science into systems that scale.

Firehorse is the most important application of that work yet.

Clinical Evidence × Marketing Strategy Cross-functional Leadership Thought Leadership Implementation Science Digital Health Behavioral Science Clinical Psychology
Advisors

Amel Hammad · Financial & Organizational Strategy · ex-CFO, Valera Health

Kelsey Mellard · Growth & Marketing · Chief Customer Officer, Midstream Health · ex-CGO, Brightline

Lynn Marie Morski, MD, JD · Field Leadership & Category Strategy · Founder, Psychedelic Medicine Association · Host, Psychedelic Medicine Podcast

Mike Cooper, MD · Virtual Psychedelic Medicine Medical & Clinical Strategy · Former Medical Director, Innerwell

Patrick Whitaker · Psychedelic Medicine GTM, Healthcare Enterprise Strategy & VBC · Delphi

Rob Spalding · B2B2C Marketing & GTM Strategy · SVP Marketing, Carrot Fertility · ex-Omada Health · ex-Eli Lilly

Sarah Adler, PhD · Digital Mental Health, AI & Clinical Platform Building · Founder & CEO, Wave

07 — The Name

Why Firehorse.

Mission

To turn breakthrough psychedelic experiences into lasting, measurable transformation — pairing the medicine with the behavioral science that makes change hold.

Vision

A future where psychedelic medicine is more than a breakthrough — a durable foundation for healing, growth, and the reclamation of authentic life, made accessible at scale.

The Fire Horse appears once every sixty years in the Chinese zodiac — associated with intensity, courage, and self-determination.

For us, it represents reclamation: returning to yourself, making transformative decisions, and taking ownership of your life — without numbing, without outsourcing agency, and without abandoning who you are.

Firehorse Health is built for people ready for that work. Some arrive seeking recovery from burnout or psychological struggle. Others come from positions of leadership, responsibility, or outward success — sensing there is more depth, alignment, and truth available to them.

The work centers psychedelic experiences as a catalyst for insight and openness, intentionally paired with evidence-based behavioral health principles, behavior change science, and mind–body approaches to support real integration into life.

Firehorse Health isn't about becoming someone else. It's about reclaiming yourself — making clear-eyed choices, and living with the responsibility and freedom that follows.

08 — What's Next

A new category is forming. We're positioned to define it.

If you're a clinician, investor, partner, or someone with lived experience in this space — we'd love to be in touch as we build.

No spam. Occasional updates as we build, raise, and launch.
Thank you. We'll be in touch.