Therefore, this method generally casts a broader net to help people embrace the health benefits of reducing their alcohol intake. They argue TSM might inadvertently reinforce some usage patterns if compliance with the pill is inconsistent. Some 12-step communities remain skeptical of a method that “allows” drinking, potentially conflicting with an abstinence ethos. Administration and TimingFor TSM to work properly, naltrexone must be taken before drinking—often about 1 hour prior.
- This aspect can be particularly beneficial for those hesitant about committing fully to abstinence-based programmes.
- If opioid misuse is also in the picture, more specialized or integrated approaches may be required.
- The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.
Success Rates: Quantifying Effectiveness
Experts recommend using as many forms of treatment as appropriate to increase your chances of success. You should feel empowered to learn about all of your options and discuss marijuana addiction with your physician which treatment plant works best for your unique goals and preferences. The Sinclair Method has several advantages over more traditional AUD treatment options, such as AA. It doesn’t require complete abstinence, which is a deterrent for some people struggling with problem drinking. It can also be done privately via telehealth, which reduces feelings of shame or negative social stigma for the patient.
Long-Term Success with TSM
This ran counter to the model of alcohol addiction as a chronic condition requiring ongoing vigilance and intervention. To maximize both the safety and effectiveness of TSM, it’s important to be consistent with taking naltrexone before drinking and to never skip your medication when you plan to drink. It can also be beneficial to consider additional counseling to address any underlying issues, and carrying a medical ID that indicates you’re taking naltrexone is a smart precaution in case of emergencies. If you’re interested in trying the Sinclair Method, you should talk to a doctor or medical professional.
Breaking Down Alcoholism: Am I an Alcoholic?
When individuals consume alcohol while on naltrexone, they experience diminished pleasure, which can lead to a decrease in overall consumption over time. The timing of naltrexone administration is also critical to its effectiveness within the Sinclair Method framework. Individuals are advised to take naltrexone approximately one hour before they plan to drink.
It is important to note that medications for alcohol use disorder are the gold standard of addiction care and proven to be incredibly effective. However, there has also been relatively limited research on the use of this specific method. Additionally, if someone chooses to continue drinking while on naltrexone, they can drink enough to break the protective “wall” that naltrexone provides. As a result, the enjoyment or “buzz” that alcohol provides can come Sinclair method back, which can lead to a return of previous levels of use. In his 2001 clinical studies, John Sinclair found that 78% of the individuals observed were able to reach extinction after several months. Patients who have done this therapy have reported only having one or two drinks at a time or event when they might usually drink much more, and it has helped them maintain longer periods of sobriety.
It combines medicine with potentially supportive therapy to address the underlying neurobiological causes of addiction and the psychosocial variables that contribute to alcohol abuse. This is in contrast to AA, which emphasizes a community-driven, abstinence-first paradigm based mainly on group support and a structured program. The best choice depends on your drinking habits, personal goals, and medical history. Below, we’ll explore how each method works and who may benefit most from each approach. It is strongly recommended to use TSM under the guidance of a healthcare professional. A doctor can provide a proper diagnosis, prescribe naltrexone, monitor your progress, and offer support throughout the treatment process.
Start the conversation, and connect with a treatment provider who can help. Join one of our weekly group calls or workshops to receive tailored TSM support—or simply listen in and learn at your own pace. More rarely, severe side effects can include blurry vision, diarrhea, confusion, drowsiness, stomach pain, and vomiting. The Sinclair Method is an affordable, realistic, and flexible treatment option that has a high rate of success.
