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Found 14 results

  1. Barbara A.

    TSM

    Hello to All! I was on this forum last Fall asking about Baclofen for my adult daughter. Now I have a few more questions. For context, my daughter got on Baclofen last October after my research discovered it's benefit's for alcoholism. She was an occasionally binger. She was on low doses (about 30mg a day). After she got drunk for the first time since being on Bac (in November), she ask for Naltrexone (from the addiction specialist, who complied) which she has taken about 4 times when she has wanted to drink socially. The Nal worked great! Her goal moved from trying to be totally abstinent to using Nal for social occasions. Fortunately, she can get the scripts easily and reasonably priced. However, the addiction specialist prescribes the Nal for daily use and did not seem to be familiar with TSM, much less condone it! We are reading "The Cure for Alcoholism" and my daughter is interested in doing it. But, first of all she doesn't exactly know how to go about it because she has been abstinent except for two relapes (1 day each) about a month apart, in Nov. and Jan, except for the 4 times with Nal mentioned above. Would she step up her drinking to before Bac even though she doesn't have cravings? Should she get off the Bac so that more cravings would be there to stimulate more drinking? Does being on Bac slow down the opportunity to go for the "cure." Sorry, we didn't know about this before! Also, we would be very interested in knowing what the results have been for those who have done TSM. In fact, it sounds so good (78% success) that I'm wondering why everyone on this forum wouldn't try this first, and then if it didn't work go on to something else! Is it costs, no access to Nal, or some other reason? Is a little scarry for her to deliberately increase her intake on the assumption that the "cure" is forthcoming, so we'd want to be sure it's worth the risk before she tries this. I say "try this" because even though she has taken the Nal several times, I don't think it is enough to be achieving pharmacological extinction. I have not been able to identify any local physician that actually works with and gives support for those using TSM in her area....Dallas/Ft Worth, Tx, USA. I have found an online resource "MDProactive" that identifies that they use the Sinclair Method but I don't know if they just prescribe the Nal or really give any valuable support...i.e. answer questions, etc. I know my daughter has liked meeting with the addiction specialist monthly to review what's happening with alcohol (and her life) but it's pricey ($150 an appt.) and the MDProactive is only $49! I think she will have a consultation with MDProactive and get a feel for this. If anyone knows of someone is her area that really works with patients TSM way please let me know! Any wisdom, insight, experience, or advice you have regarding this topic would be greatly appreciated!
  2. BarrelChested

    New to TSM

    Yesterday, I posted to the following to the MyWayOut forum. Several members/posters suggested that I switch to THIS forum. It's a bit of a buzz-kill... <crickets> So, in my best Steve Martin impersonation... "my story? You want to hear my story?!" So it goes... I've found solidarity and solace in some of these posts. I'm staunchly agnostic and find AA wholly unpalatable. However, I know that my unhealthy relationship with alcohol is rooted in my past/psychology. There are some "doozies." The salient point is that I need to stop drinking. It took me A LOT to get to this point. It took me quite a bit more to be willing to chemically-castrate myself. I've been taking Naltrexone for a mere 2-3 weeks. I read a metric-tonne of journal articles (PubMed, NIH, etc) about it. I'm a science geek. From the literature, I know that side-effects are rare. Well, call me "lucky;" I've experienced depression, nausea, confusion, and VERY dark thoughts on Nal. I'm a strong person... and, damn it, I need the strength on this medication. So... After a week, I discovered (rather, delved further into) "The Sinclair Method." I'm just now trying it. I follow a pattern of binge drinking (I typically drink/abstain for a 2 month/3 month ratio). "Reigning it in," I drink at least 50 standard drinks per week. I also ride a bicycle 4,000mi/yr and do very technical work. People would never guess. They don't know about my "deferred" DUI. I digress. I'm frustrated that this isn't "sorted," already. I will say that I'm positive that Nal has an effect. It doesn't eliminate the euphoria of drinking. Rather, it dulls it. When I drink, rather than the wash of relaxation I'm used to receiving upon the first drink, I feel... well, by the second drink, I feel the fatigue of a party gone too long. I'm drinking... but going to bed wouldn't be so horrible. What IS horrible is the cascade of side-effects. I've only had two booze-free days (yesterday was the last) since I started. And, well, it wasn't a struggle [to not drink] and I was happy to get out from under the oppressive, depressing thumb of Nal. Having watched a dear friend/soldier lose his life in my arms... well, it's a weight like that being on Nal (for me, at least -- very, very dark). HOWEVER, as frustrated as I feel that I've not "George-Jetson'd" my way out of this... well, Nal has given me hope. It's the hope of a character in a horror flick that sees that the killer has left-behind some killing tool; the bloody mess is far from over and you're operating at a disadvantage. I'm not a PolyAnna. I'm very far from this. I'm honest. And the hope that I get from Nal outweighs the crushing darkness I feel from the medicine (initially, I was taking 25mg, twice per day - a really misguided approach I arbitrarily adopted; I requested the medication and received zero guidance on how to take it). I realize the absurdity/lack-of-validity of a neophyte posting his experience. However, I've studied Neuroscience at the graduate level and am unusually deliberate and honest in all that I do. I'm shocked that I created an account. I felt compelled to do so. Perhaps this tiny community will help me avoid seeking professional assistance (which might, admittedly, help me... but maybe I'd like to have a security clearance again, some day? Mental health care is stigmatized, yo'....). And my follow-up to that post from yesterday is... is that community helps. I have a crazy work environment that's extremely socially-isolated. And now that I don't go to bars... well... I'm looking forward to reading replies. The Naltrexone on top of circumstantial social isolation... well, it's really not the ideal combination. #justSayin
  3. Articles from two prominent progressive American magazines, highly critical of AA and underscoring the need for a wider variety of treatment options. Harper's is very reactionary and intellectual but The Atlantic is more even-keeled. In the Atlantic article the writer tries Naltrexone and reports positively on its effects. The Atlantic April 2015 "The Irrationality of Alcoholics Anonymous" "J.G. says it was this message—that there were no small missteps, and one drink might as well be 100—that set him on a cycle of bingeing and abstinence.... He felt utterly defeated. And according to AA doctrine, the failure was his alone. When the 12 steps don’t work for someone like J.G., Alcoholics Anonymous says that person must be deeply flawed." Harper's January 2011 "The Drunk's Club: A.A., The Cult That Cures"
  4. I've looked this up on google with no luck, so I thought I'd see if anyone here had any thoughts on the following. Awaiting the arrival of my first batch of Nal and it occurred to me that it messes around with one's mood brain chemistry and in particular as I understand it serotonin related mechanisms. I take an anti depressant and have done for some years. Anyway I was wondering if Nal might interfere with it in some way. Any thoughts?
  5. I'm still waiting for my first batch of Naltrexone to arrive. Should be any day now. So in preparation I thought I would start to count alcohol units, as recommended, and keep a record so that I would have a baseline to work from. So last night I did this for the first time. I worked out how many units go into my glass (it is of course a big wine glass) and jotted a note on my notepad. Separately I make a little spreadsheet (which I will probably replace with an app in due course). You may have heard of the effect of observing quantum events in physics - i.e that the act of observing effects the outcome. Well that was exactly what happened last night. I was so conscious of counting the units that I was wide awake, not particularly relaxed and drank at least 4 or 5 units more than I would normally. Fuzzy head this morning as a result. Hopefully as I get used to it, it will just become normal. More when the Nal arrives!
  6. Admin2

    California

    Dr. Lawrence Doyle of the Plymouth branch of Family Practice at Sutter Amador Hospital He's a family physician, not an addiction specialist. He may, or may not, be willing to prescribe.
  7. If you have tried naltrexone please answer these questions. Do you consider your experience with naltrexone a success or a failure? Did you use The Sinclair Method (TSM) or traditional? How much were you drinking before you began naltrexone? What was your initial dose? Did you increase that amount? To how much? Did you have any side effects? Were the side effects disabling? How long did it take before you determined it was a success or a failure? Do you consider yourself cured? Do you still drink? When did you notice a difference in your drinking? Did you take it with other medications?
  8. This is an extremely comprehensive look at the definition, causes, treatment and gaps in treatment of addiction. You can download the entire PDF from the link below. "The time has come for addiction medicine to be fully integrated into health care systems and medical practice. Health care providers, especially physicians, are our front line in disease prevention and treatment. They must understand the risk factors for addiction, screen for risky substance use and intervene when needed, and diagnose, treat and manage addiction just as they do all other diseases." http://www.centeronaddiction.org/addiction-research/reports/addiction-medicine
  9. Admin2

    Illinois

    Dr. Dale John Giolas 200 Fox Glen Barrington, IL (847)381-8170 www.giolas.net
  10. Admin2

    Washington

    Seattle Brian Noonan, Ballard Psychiatric Services Psychiatric Nurse Practitioner https://www.ballardpsych.com/r-brian-noonan-arnp.html http://www.ballardpsych.com
  11. Admin2

    Louisiana

    Dr. James Theis TULANE MEDICAL GROUP 200 Broadway St Ste 230 New Orleans, LA 70118 (504) 864-6020 (Office) (504) 588-5817 (Fax)
  12. Admin2

    Colorado

    Dr. Karen Johnson Exempla Physician Network 4750 W 120th Ave, Suite 100 Westminster, CO 80020 303-469-1988
  13. If you use the Vivitrol website to find a doctor near you that prescribes Vivitrol (which is the injectable form of naltrexone that is still patented) the chances seem pretty good that they would also provide the pill form of naltrexone. http://www.vivitrol.com/getstarted/findadoctor?s_mcid=url-vivproviders
  14. Admin2

    One Little Pill

    This is a film you can rent or buy about The Sinclair Method, which is based on taking naltrexone one hour before you drink. http://www.onelittlepillmovie.com/
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