Yes, very thorough! Thank you for taking the time, Joe!
1. I've been drinking a bottle of wine a night for about 8 years. I'm able to keep to that limit almost always but have not been successful in reducing that amount despite multiple tries. Sometimes since naltrexone I'm able to drink a little less, but I don't seem to love it any less, I'm just so sick at my stomach all the time. From my first drink at 18 I was never really normal. Drank too much, too focused on it. Did seem to have one period of normal/light drinking in my late twenties/early thirties for about five years. It was accidental and I don't know how I did it. Believe me, I've spent hours trying to analyze it so I could recreate it. I prefer to drink alone, but my husband loves to drink with me. Even though he's watched the video, is a physician himself, and knows I am very unhappy with my drinking, he adores drinking with me and isn't too worried about it. He can easily stop at one drink or not have a drink at all, and he just doesn't get it. He doesn't know about my secret stashes. If I told him, I would just find other hiding spots. Even though I've tried to explain the intense physical craving to him and I showed him the video, he still made a comment the other day, when I asked him how a mutual friend had gone from problem drinker to one-beer drinker, he answered, "will power." He didn't mean it as an insult. He just truly does not understand. He was relieved when I ended my abstinence last fall. Sigh. Not blaming him at all--I was drinking like this long before he came on the scene.
2. At first I did the one-hour rule, but that was often leading to vomiting for me. Still, I wanted to drink. I think I would want to drink WHILE vomiting. To avoid the vomiting, I have started taking it with a large meal at breakfast or lunch, which is several hours before my first drink. I am unable to put off my larger meal of the day until dinner due to hypoglycemia. I drink in the evenings only, unless on vacation or Christmas or something rare. I have been taking nal every day because I still want to drink every day. I've forgotten the pill maybe 3 times in 3 months. One of those was Christmas Day and I was cooking for ten people and very busy. I don't think it was an unconscious desire not to take it-- I actually forgot. Then one day during a bad week of vomiting I just could not bring myself to swallow it. I was so nauseated. I do make every attempt to be compliant, though.
3. No other meds.
4. I'm not ready to talk to my daughter about this. She's only ten. Once (if) I can get it under control, I plan to talk to her, apologize (deeply) to her, and talk to her about her own genetic predisposition. It's on both sides of her family, heavy duty. My dad is a high-functioning but unquestionable alcoholic. My sister has abstained for ten years after four years of very heavy drinking. My daughter's father and his father both have problems with it too.
5. No diary other than a journal. I haven't known how to record my drinks since I'm always trying to hide what I'm drinking from my family, and what I do drink out in the open I'm sharing with husband. I may have to tell him I'm going to be measuring from now on and he can't drink out of my glass or pour me another splash. God, I hate this. We're still somewhat newlyweds (3 years) and I feel so embarrassed.
6. I'm not sure on the first drink. I'll try to pay more attention. Sometimes on Wednesdays I sleep in a different room from husband due to schedules. I relish the thought of getting to that room where I can drink alone. Happened just last night. I don't think my cravings have abated much if any at all.
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