How does Dr. Volpicelli address compliance issues with The Sinclair Method? I have previously been prescribed Naltrexone, but found I simply did not have the willpower to follow it once I had felt the effects of drinking on it. Is there a type of person or certain personality traits that will be more successful following TSM and those who will be less successful?
In my experience, trying The Sinclair Method while living alone and without any other recovery tools such as a 12-Step group to be accountable to took tremendous self-discipline I lack. I am now having some success with AA, and a large part of it is having to be honest and accountable to the group and my sponsor. It also helps by providing regular social interaction with like-minded people.
Really excited to tune in! I’m glad you are highlighting the fact there are many ways to sobriety.
Could you ask Dr. Voliocelli to discuss the difference between addiction and dependence?
These terms often used interchangeably, but I understand dependence involves replacing an endogenous substance with an external one, while addiction refers more to a set of behaviors that may or may not include dependence.
For example, when someone takes opioids, their natural (endogenous) opioid system can go offline, leading to physical dependence and withdrawal when the external source is stopped — that’s classical dependence, which may or may not involve addictive behaviors.
Is that distinction accurate, and does Naltrexone work on addiction, dependence, or both? I realize I’m simplifying a complex topic, but I still think it’s one worth exploring and clarifying and more people understood. Thanks!
Hi there, I’m a therapist who works with AUD, and my primary concern is getting prescribers (PCPs and/or psych providers) on board with the Sinclair Method. It is outside of my scope to recommend that a patient take a medication (or take it in a particular way), so the only way I can recommend the Sinclair Method is with a prescriber’s approval. Does Dr. Volpicelli have any resources (handouts, websites, etc) that I can use to demonstrate the safety/efficacy of this treatment to other medical professionals? Thank you Katie!! Bought the book and am loving it so far.
Naltrexone doesn't seem to "work" for me the way it's supposed to. It doesn't kill my buzz (if anything, it makes me feel drunker), but what it does seem to do is lower my tolerance so I feel the need to drink less. Is that something you've seen in others? And if so, have those people been able to reach pharmacological extinction?
How does Dr. Volpicelli address compliance issues with The Sinclair Method? I have previously been prescribed Naltrexone, but found I simply did not have the willpower to follow it once I had felt the effects of drinking on it. Is there a type of person or certain personality traits that will be more successful following TSM and those who will be less successful?
In my experience, trying The Sinclair Method while living alone and without any other recovery tools such as a 12-Step group to be accountable to took tremendous self-discipline I lack. I am now having some success with AA, and a large part of it is having to be honest and accountable to the group and my sponsor. It also helps by providing regular social interaction with like-minded people.
Really excited to tune in! I’m glad you are highlighting the fact there are many ways to sobriety.
+1 to this question.
Does it work for stimulants?
Also my question
Could you ask Dr. Voliocelli to discuss the difference between addiction and dependence?
These terms often used interchangeably, but I understand dependence involves replacing an endogenous substance with an external one, while addiction refers more to a set of behaviors that may or may not include dependence.
For example, when someone takes opioids, their natural (endogenous) opioid system can go offline, leading to physical dependence and withdrawal when the external source is stopped — that’s classical dependence, which may or may not involve addictive behaviors.
Is that distinction accurate, and does Naltrexone work on addiction, dependence, or both? I realize I’m simplifying a complex topic, but I still think it’s one worth exploring and clarifying and more people understood. Thanks!
Hi there, I’m a therapist who works with AUD, and my primary concern is getting prescribers (PCPs and/or psych providers) on board with the Sinclair Method. It is outside of my scope to recommend that a patient take a medication (or take it in a particular way), so the only way I can recommend the Sinclair Method is with a prescriber’s approval. Does Dr. Volpicelli have any resources (handouts, websites, etc) that I can use to demonstrate the safety/efficacy of this treatment to other medical professionals? Thank you Katie!! Bought the book and am loving it so far.
I never saw a replay for this come up, can I still watch it?
Naltrexone doesn't seem to "work" for me the way it's supposed to. It doesn't kill my buzz (if anything, it makes me feel drunker), but what it does seem to do is lower my tolerance so I feel the need to drink less. Is that something you've seen in others? And if so, have those people been able to reach pharmacological extinction?
Some primos have reported that naltrexone itself has unpleasant enough side effects that they have a hard time taking it, even at reduced doses.
Does Dr. V have any information or insight into low-dose naltrexone regimens and how they differ from addiction-extinction dosing and treatment?
Maybe of interest:
Reductions in World Health Organization Risk Drinking Levels as a Primary Efficacy End Point for Alcohol Clinical Trials
https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2838990
See you there!!
I’ll be there!