Hey Jim - glad to hear you're in for the long haul. Some people must just have very stubborn pathways

Myself included. I had gotten lazy w/ the Nal around Thanksgiving and Christmas..probably taking it 70% of the time. I did feel my drinking and cravings were ramping up but the frustration of not being completely cured caused a rebellious streak. I decided at the beginning of January to put effort into this again, ordered more NAL and decided to really throw will-power in the mix. Did not see any progress for a couple of weeks and was sneaking too much.. so I've reduced my goals to simply not over-drinking every night - sticking to 3 drinks, 4 at the most. And I've decided to have a stash of alcohol available to only me so that I don't get a panicked feeling if the house is running dry

Mentally, it has helped - just knowing the security is there has been a relief and has helped reduce the drinking. Odd, I know.
Have been tempted to just quit this journey or look into other methods of cure but for me, I don't think any medication will ever be enough - I have to address the habit, the non-physical cravings and why I'm on this self-destructive path. I truly thought I would be cured by now. Heading to the 2 year point now...
well, it seem I've taken over your thread - sorry about that - it's just too depressing to get on mine
Take care,
Virginia