Look,
My shrink was adamant about being abstinent and going to 12 step programs etc etc, sponsor, etc etc.
As a former AAer of 5 years (chip for 4), I have no real hatred for AA, but as I read the book (eskapa's), my accidental relapse, was in fact probably a situation that I could've nipped in the bud by taking Naltrexone immediately if I had cravings after the first night of relapse. Without going on about me, (which I am often very guilty of), ask your Dr. WHAT HE/SHE thinks you should be doing and say you will do it.
Now they have Campral for cravings,...works no better than a placebo but there's a lot of money to be made there and not on Naltrexone (generic...no money). Plus the rehab industry needs us sick. Sorry to sound conspiracy theory...But tell them that you're a musician and the thought of tinnitus makes you very anxious and from what you've been told Naltrexones side effects are mild and often none....or there are a host of other side effects just check it out
Side Effects of Campral - for the Consumer
Campral
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Campral:
Diarrhea; dizziness; gas; loss of appetite; nausea; trouble sleeping; weakness.
Seek medical attention right away if any of these SEVERE side effects occur when using Campral:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; behavior changes; depression; mental or mood changes; nervousness; panic attacks; restlessness; suicidal thoughts or behaviors.
Say whatever,...but you can say you already have trouble sleeping and the idea of farting during a high level summit meeting could ruin relations between the US and Russia
Most importantly on a serious note, if they are believers in abstinence, then tell them you want help with cravings and will abstain and then lie,..sadly. ALthough my last visit, i greatly exaggerated that I had cut back and she seemed pleased and ok with that....
Ultimately, Do whatever you need....good luck, best, Jim