[daseiner1]

The Sinclair Method does have impressive results, and I've have some success with it in the past.

For alcoholics at a certain level (thinking of myself here – yes, anecdotal), there is the necessary accountability to take the naltrexone tablet and "deprive" one of the euphoria, which can be difficult to maintain over a long period of time.

With Vivitrol (an injectable form of Naltrexone that lasts ~1 month per injection), it is not difficult to simply "drink through it". Results in an absolute horrible hangover – sure – but that's not necessarily enough to stop the motivated alcoholic.

Overall though, MAT is a valuable tool in the toolbox.