The Sinclair method is based on the theory of extinction, which means slowly reducing the amount of alcohol over time. It does not mean that you have to quit drinking (unless you choose to) but instead focuses on reducing alcohol consumption in a healthy manner. Some people experience mild side effects when starting naltrexone, including nausea, fatigue, or headaches. In rare cases, liver function may be affected, which is why routine monitoring with a healthcare professional is recommended.
Extinction Vs. Abstinence
Furthermore, the Sinclair Method is much more affordable sinclair method than more intensive and costly rehabilitation centers. Naltrexone hydrochloride has been shown to reduce alcohol consumption in clinical studies. The efficacy of naltrexone hydrochloride as an aid to the treatment of alcoholism was tested in placebo-controlled, outpatient, double blind trials.
What Is the Sinclair Method? A 2026 Guide
Initially, they will take the antibiotic for about two months while the effects are monitored. The alternatives to the Sinclair Method include a variety of treatment approaches for alcohol use disorder Alcoholics Anonymous (AUD), each with its own advantages and considerations. These methods appeal to different individuals depending on their preferences, needs, and treatment goals. Check out this video and blog from Thrive’s founder, Katie Lain, as she describes her experience of what it feels like to drink alcohol on naltrexone.
Daily Naltrexone vs. The Sinclair Method: Which One is Right for You?

Since 2018, we’ve empowered thousands of individuals to achieve their ideal relationship with alcohol. „My patients who are members of the Thrive find it an encouraging and useful source of peer support and information. They appreciate the holistic perspective and confidence it gives them in their recovery journey.” The trial will initially test the treatment on about a dozen patients with glaucoma, a condition where high pressure inside the eye damages the optic nerve. In the tests, viruses carrying three powerful reprogramming genes will be injected into one eye of each patient, according to a description of the study first posted in December. It’s the thing everyone is funding,” says Karl Pfleger, an investor who backs a smaller UK startup, Shift Bioscience.
Step 9: Reflect, Set Goals, and Keep Moving Forward
- Gradual, Natural Decline in ConsumptionBecause the method leverages a behavioral extinction process, changes might feel more natural.
- Over time, these changes affect the way the brain functions and responds to alcohol.
- The Sinclair Method is a form of treatment for alcohol use disorder that focuses on reducing alcohol consumption rather than abstaining from alcohol altogether.
Drinking less helps reduce the negative consequences of alcohol as well. The TSM website describes success as the “degree of freedom you have from alcohol.” As an example, one metric may be your lack of obsessing or preoccupation about alcohol or drinking (6). They create a general feeling of well-being, stress relief, and pain relief (4). Before you can fully understand the benefits and drawbacks of The Sinclair Method for alcoholism, it’s essential that you also understand how alcoholism works.

What is the Sinclair Method and Does It Really Work?
Although ReVia and Vivitrol are two different medications, they both contain the key ingredient naltrexone, which blocks the brain’s pleasure center from experiencing feelings of euphoria while drinking or using opioids. When administered, naltrexone attaches itself to the opioid receptors in the brain. This attachment creates a barrier, preventing substances like alcohol from accessing these receptors and triggering the release of pleasure-inducing chemicals. So, even if we https://www.corpecolviajesyturismo.com/how-long-does-meth-stay-in-your-system-what-is-the-2/ consume alcohol, the rewarding effects are diminished or entirely absent because naltrexone is blocking our brain’s access points. He first observed the effects of naltrexone on drinking behavior in animals, finding that the longer animals who had been trained to drink were deprived of alcohol, the more they would press a lever to obtain it. Sinclair termed this phenomenon the “alcohol deprivation effect,” comparing it to the increased alcohol cravings experienced by people with alcohol use disorder.
A slip may involve forgetting to take naltrexone before drinking or drinking more than intended on one occasion. Josh Lee is a clinician and researcher with a focus on medication-assisted treatment of alcohol and opioid use disorders. He has conducted multiple clinical trials examining the use of naltrexone in primary care and other community settings. As a practicing physician, Josh helps manage the NYC Health + Hospitals/Bellevue addiction medicine clinic in adult primary care. If you or a loved one is exploring addiction treatment options and struggling with the idea of stopping cold turkey, the Sinclair Method may be a path worth considering. With the proper support, alcohol addiction recovery works — and you don’t have to face it alone.
This is necessary for the pharmacological interventions to work — the brain must learn, through repeated experiences, that drinking alcohol no longer brings pleasure. At the heart of the method is the medication naltrexone, a non-addictive medication that blocks opioid receptors in the brain. These receptors are part of the brain’s reward system, which reinforces behaviors like drinking alcohol by releasing pleasurable feelings. In general, the Sinclair Method is a good option for those who are committed to making changes to their alcohol use.
As part of a comprehensive treatment plan, it is considered the gold standard of care. If you stop taking naltrexone and drink alcohol, your brain will likely begin to re-learn the connection between drinking and pleasure, potentially undoing progress. It’s important to follow the protocol consistently, it’s called „the Golden Rule” for a very good reason. Yes, naltrexone is a prescription medication, and you’ll need to consult a healthcare provider to determine if it’s appropriate for you. Thrive has partnered with specialized physicians across all 50 states and can provide you with a referral for a naltrexone consult to get started. According to the Sinclair Method (TSM) protocol, naltrexone is taken in a targeted dose, one hour before drinking.

Sinclair Method Support Groups
Conversely, taking naltrexone on non-drinking days is not strictly required by TSM, though some do so if they suspect an unplanned event might involve alcohol. If you are struggling with alcohol addiction, explore our rehab directory or contact a treatment provider to explore your treatment options. For many, it offers a path to alcohol reduction that feels realistic and sustainable — especially for those who’ve tried and struggled with traditional abstinence-based treatments. Over time, your brain’s association between alcohol and pleasure breaks down.