Key Takeaways

• Naltrexone reduces the pleasurable effects of alcohol by blocking opioid receptors in the brain.

• The Sinclair Method (TSM) uses Naltrexone strategically before drinking to retrain the brain and reduce alcohol dependence.

• Ongoing support helps users stay consistent, informed, and emotionally resilient during the process.

• Awareness of TSM is growing in the UK and Ireland, but structured support is key to successful long-term outcomes.

• Rethink Drink offers coaching, information, and a free screening call to help users start their TSM journey with confidence.

Alcohol recovery doesn’t have to follow the traditional path of total abstinence or white-knuckle willpower. A science-based approach called The Sinclair Method (TSM) is gaining visibility in the UK and Ireland. At its core is Naltrexone, a medication that rewires the brain’s response to alcohol.

But while the medication is powerful, its true potential is unlocked with structured support. Let’s explore how Naltrexone works, what makes the Sinclair Method different, and why guidance is so critical along the way.

What Is Naltrexone?

Naltrexone is a prescription medication that blocks the brain’s opioid receptors. These receptors are responsible for the pleasure and reinforcement we get from substances like alcohol. By interfering with that reward pathway, Naltrexone helps reduce both cravings and the drive to drink.

Naltrexone doesn’t punish drinking — it simply makes alcohol less rewarding over time. This leads to a gradual reduction in consumption when the medication is used correctly.

Key effects of Naltrexone include:

• Dampening the euphoric effects of alcohol

• Interrupting the cycle of craving and reinforcement

• Supporting long-term behaviour change when used consistently

What Is The Sinclair Method?

The Sinclair Method is a treatment protocol in which individuals take Naltrexone exactly one hour before drinking alcohol. Over time, this leads to something called pharmacological extinction — essentially, unlearning the addictive behaviour through repeated, reward-free exposure.

Unlike traditional methods that demand immediate abstinence, TSM takes a more progressive, brain-based approach. Drinking is allowed, but only when paired with the medication, enabling a steady reduction in desire and habit.

TSM is particularly appealing in the UK and Ireland, where drinking is often deeply social and cultural. The method fits into real life, making it more sustainable for many people.

Why Support Is So Important

Although Naltrexone changes how alcohol affects the brain, lasting success depends on consistent use, emotional resilience, and informed decision-making — all of which are greatly enhanced through support.

Here’s why having structured support matters:

✅ Consistency in Medication Use

• Coaches help users remember to take Naltrexone at the right time.

• Regular support improves adherence to the method.

✅ Understanding the Process

• Guidance helps users grasp the science behind pharmacological extinction.

• Accurate information builds confidence and realistic expectations.

✅ Emotional Support

• Breaking habits can be mentally and emotionally taxing.

• Support provides encouragement and empathy during challenges.

✅ Motivation and Accountability

• Coaching sessions offer accountability and goal-setting.

• Successes are celebrated, keeping momentum high.

✅ Avoiding Common Mistakes

• Support helps avoid pitfalls like skipping doses or drinking without the medication.

• Users receive tips and personalised strategies based on experience.

Getting Support with TSM in the UK and Ireland

While awareness of The Sinclair Method is growing, many GPs and services across the UK and Ireland still follow abstinence-based approaches. As a result, those looking into TSM can sometimes feel isolated.

That’s where Rethink Drink comes in. We specialise in coaching and support for individuals using Naltrexone and following the Sinclair Method. Our team understands the unique challenges and rewards of this approach and provides tailored, empathetic support throughout your journey.

Want to learn more? Browse our informative blog or book a free screening call to speak with a member of our team directly.

Solo Journey vs. Supported TSM: What’s the Difference?

Going it alone with TSM is possible, but users often report higher success rates and a better overall experience when support is part of the process. Here’s how they compare:

With Coaching Support:

• Higher consistency with medication use

• Better understanding of the science and method

• Emotional reassurance during tough periods

• Greater confidence and motivation

Without Support:

• Risk of forgetting or skipping doses

• Misinterpretation of progress or setbacks

• Feeling isolated or confused

• Higher risk of giving up prematurely

Final Thoughts

The combination of Naltrexone and The Sinclair Method offers a powerful, flexible, and proven way to reduce or even eliminate alcohol dependence. But success isn’t just about chemistry — it’s about human connection, understanding, and support.

That’s where we come in. Let us help you Rethink your Drink — with evidence-based solutions and guidance that puts you in control.