Hello TSM people! Q: I have been in detox/rehab for 3 weeks, abstinent for 4 weeks, on naltrexone for 3 weeks. Reading Roy Eskapa's book, he says: " it may also be argued that it is unethical to instruct patients to take the medication in the wrong way - together with abstinence. Success is accomplished by drinking while taking the medication in order to reset the wiring in your brain, driving the craving and addiction back toward zero" p. 108
I plan to be abstinent for 3 months (for liver, for potential pre-frontal cortex damage) but would like to start TSM after that.
Is this possible?
Do I need to stop naltrexone, start drinking again, and then begin TSM?
If so, how long do I drink before I start taking naltrexone one hour before I plan to drink?
I live in Sydney and have not found a TSM-informed doctor here to answer this question.
Hi meganl, welcome to OSL! I am not a doctor so my thoughts here are just that...thoughts. Congrats on getting through the rehab process and for your 4 weeks of AF days. That must have been quite a lot of work. You are correct, TSM works only through the protocol of waiting for the craving, taking the medicine, waiting the hour, and then drinking. But your questions are quite specific as to the timing of when you should start TSM after a long period of abstinence. I'm not sure the answers, but someone else may weigh in.
Perhaps you would be well served by waiting until you finish your planned 3 months of abstinence to improve your health issues before addressing this question? TSM will be here waiting for you if you decide to come this route, and you will find tons of supportive friendship on this site. I wish you all the best. It sounds like you have had a rough road and I know there will be better days ahead for you, whether through continued abstinence or through TSM.
This forum has a number of people with experience doing what you propose. I will leave it to them to comment.
Until then, dive into the tips section of this forum, learn all you can about TSM, watch the documentary, the TEDx talk on Youtube, and find a copy of the book (library?). The book is so refreshing to read. Very modern 2020 thinking in that book, rather than 1939 thinking.
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