Hi, Ketch, and belated happy birthday! Before I forget, I just wanted to correct something, you came into the world via the vagina- signed Pedantic Patricia :0P
I'm sorry that you have had such a rough time recently. I wonder would upping your dose of Nal to 75 mg help? for a while at least until you feel you have more control? 50 mg was too much for me, maybe it's not enough for you? It's just a thought.
AAers would have a ball psycho-analysing your recent bender, suggesting emotional immaturity and god knows what but I do think that the fact remains that there is a fundamental reason why you did it, can it be "just" biochemical?
I've been suggesting a book to a few people here, it helped me a lot in my early sobriety and it might help you too, bty, apogees if I'm repeating myself, it's called The heart of Addiction by Dr. Lance Dodes. His is a theory, like many others, but it might be helpful. He argues that an overwhelming sense of helplessness and powerlessness drives addictive behaviour. The addictive act (drinking, in our case) permits the addict to regain control (no, the irony has not escaped me

), or at the very least a momentary autonomy, thereby reversing the sense of powerlessness and helplessness. So, maybe you felt a sense of helplessness about your job? you knew you had to do something about it but you either didn't know what to do or you felt that what you could do wasn't doable... but you had to do something, so you binged??
I hope you have some AF days and that you feel better soon. A good sobriety trick that has helped me on TSM is to always make sure you're neither hungry nor thirsty, hunger and thirst often make us feel like a drink.
Good luck.
Curi