I threw this together to see if it would be useful. I think it covers most (although of course not all) of the problems we've seen here.

http://naltrexonekey.blogspot.com/p/blog-page.html

I'd like feedback. I know the format needs work, but there's no point in doing that until I know if the content is useful.

I know there's one part which still needs some real reworking. See if you can spot it.

A couple of things.
I don't agree with your "just different somehow' box that says folk who answered this way will not benefit from TSM. I think you are making claims that may put people off. For example, I am in the 'just different somehow' camp and I know TSM is working for me.

I also think you need to cite some references for your claims.

having trouble with the link to your file. nothing seems to happen. can't view it.

Yep, that is the part I need to rework a bit. That and the "I'm not sure" if it's different are more complicated than I currently have them.



I'm worried about limited space. Maybe endnotes?

Hmm. Here's a direct link to the gif, although it'll be hard to read until you blow it up.

http://3.bp.blogspot.com/-OByaJe5TUro/U ... wchart.gif

stiil can't see it. get this message: Oops! Internet Explorer could not find 3.bp.blogspot.com
Did you mean: blogspot.­com

Well, let's not worry about it for now. It's pretty darn hard to distill the entire group's wisdom into a single flow chart. I'm still working.

I'll post when I have a new version.

I like the flowchart. Good Job

Looks pretty good. A comment on style, Id leave off the "you are a special snowflake" stuff.

The end part could use tightening, Id use more, you have ingrained habits that have less to do with alcohol dependency than other factors. People do in fact need to make life changes. The whole "just take one pill" leaves that out.

Wow melissa, you've been busy! I like the flowchart...an interesting idea. I guess my feedback is a bit like Kerri's. It's the "is your drinking significantly different" part. I don't know how to answer that. It is in that I don't get drunk when I take nal and alcohol, I don't want to drink anywhere near as much and most importantly I find my brain telling me after a couple "I've had enough" without any concious effort on my part. But, my reaction isn't "no joy", it's not an unpleasant reaction when drinking and the wine doesn't taste like vinegar. For me, at the moment, I still like wine and get a different level of enjoyment out of it but the switch which said "have more" has been turned off....the switch that says "have some" is still in the on position.

I don't know what it is with wine drinking...why do the wine drinkers take longer? Does it just taste nicer than spirits and beer? For me, I think it's because it's also linked with food and maybe that means there's a more deep seated addiction at work. I really only drink with a meal. If I'm drinking outside of a mealtime (say whilst playing cards with friends) they'll be snacks and I'll drink whilst eating them. It's very rare for me to drink and not eat...but I'm starting to think that I'm a special case!!

This wasn't in your flowchart but I also wanted to comment on what you said in your blog about pregnancy and how you'd lost the desire for alcohol. I never experienced that. I didn't drink when pregnant or breastfeeding, but I still wanted to. It wasn't quite whiteknuckling as I knew that alcohol would be harmful and so I could pacify my brain with that somehow, but throughout I was looking forward to the day when I could have a glass of wine again. I wonder what, if any, significance that might have?

Keep up the good work and thanks for all the effort

Ruth