Many report fewer cravings, less binge drinking, and a better sense of control within the first few months. Long-term studies indicate that success is highest among those who combine the medication with consistent follow-up care and mental health support. Alcohol consumption affects the brain’s reward system, triggering dopamine release that reinforces the desire to drink more. Over time, regular drinking can create strong behavioral patterns that make moderation difficult. The Sinclair Method helps interrupt this cycle by changing how the brain responds when individuals consume alcohol, reducing reinforcement and helping people regain control.
Tools and Recovery Resources

AA’s method is based on the existence of a support system and the accomplishment of the classic Twelve Steps, which are based on spiritual and psychological processes to help people be and stay sober. The primary goal is total abstinence, with the premise that even managed drinking can lead to relapse and ongoing alcohol abuse. Numerous individuals assert a significant improvement in their overall well-being, encompassing more than just their alcohol intake. One benefit of their drinking patterns is reducing negative effects, such as social problems or health concerns. While long-term effectiveness statistics for TSM are still being developed, early findings indicate that consistent use of naltrexone within TSM can lead to gradual improvement in the treatment of AUD. Many people who follow Sinclair method the Sinclair Method report life-changing results.
How does TSM work?
Extinction targets the underlying cravings and weakens them over time. A person can amphetamine addiction treatment be abstinent without having extinguished their cravings, which may make it harder to maintain sobriety. Abstinence is often linked to detox and participation in formal addiction treatment programs. The Sinclair method works by reducing the reinforcement that people get when they drink alcohol.
Continue Drinking (at first)
- This is in contrast to AA, which emphasizes a community-driven, abstinence-first paradigm based mainly on group support and a structured program.
- However, it’s important to note that TSM, like any treatment, may not be universally effective.
- No, but Vivitrol (a monthly injection of naltrexone) may be able to help you reduce your heavy drinking days.
- We understand the challenges of struggling with alcohol and the journey to overcome them.
Its role is to block the endorphins released by alcohol consumption, thereby dulling the rewarding sensation that drives the cycle of addiction. This process of operant conditioning slowly but surely diminishes the association of alcohol with pleasure, steering individuals towards a path of reduced drinking or complete abstinence, defined on their own terms. Naltrexone blocks opioid receptors in the brain, preventing the release of endorphins triggered by alcohol, which reduces the rewarding effects of drinking.
Do I Have To Quit Drinking With The Sinclair Method?
It’s designed to seamlessly integrate into your life, allowing you to make meaningful changes without having to tell anyone about it (unless you choose to). Before starting TSM, it’s important to fully understand how it works and why it’s different from traditional abstinence-based approaches. Requires regular monitoring by healthcare professionals to adjust treatment.

Over time, the brain stops expecting that rush and the urge to drink fades. If you must take opioid pain medications for a surgery or other reason, you’ll need to stop taking naltrexone. To follow TSM, you take naltrexone every time before drinking alcohol.