I have been thinking a lot about what makes TSM work, when it does. Naltrexone is not a magic pill all by itself. It may be for rats, but we humans are much more complex. I believe it is a combination of:
-- Naltrexone actually doing its work at the neurological level, as advertised. Over time, the urge is simply not as strong as it once was. It is no longer insurmountable - after that, you still have to tackle the habit.
-- Behavior modification - simply waiting a hour after taking Nal to drink is a change, delaying the beginning of a drinking session and learning some self control. Over time, you gain more and more self control.
-- Placebo effect? Maybe part of it is this, believing a "cure" is possible must help, the power of persuasion is, well, powerful!
-- Learning a new habit - I think tracking drinks, reporting on this site, being truly accountable to yourself and seeing the real numbers (spreadsheet, graph, whatever!) helps. For me, those numbers are always in the back of my mind and I WANT to have a downward trend on that graph. That in itself is motivating.
-- Scheduling activities you don't want to miss due to a hangover. This has been huge for me lately. I have put yoga classes, photography classes, volunteering at my son's school, taking my daughter to ski lessons and other activities on my calendar. I know if I drink too much, I will miss out on what I have planned (or I will suffer through them, hating myself.)
After 7+ months on Naltrexone, I seem to have more conscious control over the decision of whether or not I will drink on any given day. Drinking still pops into my head one or more times a day - the difference now is, I can much more easily put it out of my head. I still often drink more units than I want to when I do drink. Hopefully that will get better over time too.
I am not going to post a graph till tomorrow, but if I stick to no wine tonight (which is my plan) this will be my lowest week since the beginning of TSM - 11 units and 5 AF days. If that is the best my "cure" ever gets, I'll take it!