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Desperado, I guess you are desperate, facing marital collapse, a short lifespan (or, at least, a short "healthspan"), and the darkness of depression, all made worse by drinking. A lot of people seem to end up trying the Sinclair Method as a last-ditch resort, having concluded that will power alone was completely futile (the only other similar option I've heard of is the Schick Shadel program which another memeber here, "Q", recently got out of with good results -- it uses intense aversion therapy to make you really, really not want to drink).
I can see how you would think, "If this doesn't work, I guess I'm doomed." Unfortunately, some alcoholics really are doomed, which is what makes the disorder/disease so wicked. I can kind of, sort of relate, but not to the extent that you suffer from your compulsive use of alcohol. If you read through the thousands of posts on this forum, you'll find some great success stories, and some no-success stories. I know Natlrexone "works" at what it's supposed to do -- blocks opioid receptors. So, unless you have some sort of strange brain, be assured that this is at least happening. Naltrexone is an old, powerful drug and does what it's supposed to do (as an RN, I've given the IV form Narcan many times and it works instantly and profoundly; it does not f*ck around). The question is whether having your opioid receptors blocked before you start drinking is going to help YOU develop the promised "indifference" to alcohol that many (myself included) have joyfully received. It seems as though, for some people, the opioid "reward system" is not as responsible for their dysfunctional drinking as it is for others.
You say you're on "day 24 of the program." More details would be great -- you'll be more "anonymous" here than at AA, for sure. Have you taken Naltrexone exactly one hour before drinking 100% of the time? Did you "feel" any different when you drank? Has your drinking gone down any? What's your typical drinking pattern (e.g. do you drink in the mornings? go to bed drunk? drink liquor/beer?)?
I like to look at TSM as a supportive method to help me exercise my free will choice to not drink. I have willed to not drink many times in the past, but I never had a powerful "friend" to help me out like I do with Naltrexone. For me, I'd say Naltrexone has been about 85% responsible for my success, my personal strengths and will about 15% responsible. Think about yourself. In your case, you might be more of a 50/50 person, meaning you'll have to put in significant effort but will be much better equipped to handle the reduction in drinking than you would have been on your own. You just have to find a way to maximize the benefits that Naltrexone is giving you.
I've never suffered from depression (I'm extremely smiley, joyful, and happy and always have been -- I sing all day, give people high fives, that sort of stuff; I'm like Truman in The Truman Show), but I have seen many clinically depressed people and know enough to see that it really, really sucks. People develop self-defeating behaviors, sabotage any victories they have, and often turn to substances to either "excuse" themselves from their failures, or to "fast forward" their lives to some future point that, they vainly hope, will be better and brighter and happier. That day often never comes. The best of luck to you and may you find that sweet spot of love, health, and success that we all seek.
You will find lots of support and advice here, especially if you provide more details that people can relate to.
_________________ Barry Pre TSM 25-40 drinks per week, every night off, compulsively,secretly,lots of risky behavior Wk Count: 11, 4, 4, 2, 7.5, 2.5,2,2 Cured 0,0,0,0, 0.5, 1.5, 1, 0, 1, 2, 0.5,0,0,8,2,32,3,0,2,5,10,5,9,7,0 Peace Out!
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