overit wrote:
Of course he thought I was overreacting and should be just happy that he was there and he brought me flowers,
This worries me. It does sound like you may have been a bit...volatile

, but he should have been at least embarrassed if not desperately ashamed.
Possibly he's just fighting back against the programming. When we know we have a problem but also know that commonly available "help" is worse than useless, we may go back to saying there's no problem.
overit wrote:
And I have no idea why he doesn't want to take his meds. He will be doing great and then all of a sudden feel he is capable of being independent from medication... and then relapses hard. Why doesn't he learn?
It might be the other way around -- he gives in, so ditches the meds in order to let the alcohol take effect.
Subjective experience of naltrexone varies widely. Some barely notice a difference. Others feel like all possible joy has been sucked out of life. If he's one of the latter, ditching naltrexone would be doubly appealing.
If he only knows about Stepping, which I'm guessing is all the rehab presented to him, then it'd be a kindness to at least point him in the direction of real therapies. He might be more accepting of treatment if he knew there were alternatives to abstinence forever and drunkenness forever.
Can you send him to us here? We'd be glad to at least fill him in, and he could decide if he'd like try TSM, keep doing abstinence, or do nothing at all. I'm sure you know that it's his choice in the end.