Manage episode 506846746 series 2968201
Rich talks with recovery advocate Katie Lain about The Sinclair Method (TSM), a medication-assisted, science-based approach that helps people reduce or end problem drinking without the all-or-nothing pressure to stay abstinent. Katie shares her decade-long struggle with binge drinking, how naltrexone changed her brain’s reward loop, and why TSM can be a discreet, at-home path to control for millions. Listeners will learn how cravings fade, why relapse rates differ from traditional models, and how to combine medication with real-life coping skills.
Sponsored by Serenity Salt Spa
Guest Bio:
Katie Lain is the founder of Thrive Alcohol Recovery and a leading educator on The Sinclair Method for alcohol use disorder. Sober since 2017 through TSM, she creates evidence-informed content, works with clinicians and researchers (including naltrexone pioneer Dr. Joseph Volpicelli), and helps thousands regain control—without labels, shame, or mandatory abstinence.
Main Topics:
· Katie’s story: daily binge drinking in her 20s, failed quits, and finding TSM in 2017.
· How TSM works: take naltrexone 1 hour before drinking; it blunts alcohol’s reward so intake naturally falls over time.
· Timelines & side effects: early wins in weeks; most see full results around a year; common, mild early side effects often fade.
· Myths & misconceptions: moderation can be possible after dependence when the brain is “re-trained”; naltrexone is non-addictive; TSM can be done discreetly at home.
· Comparing models: high relapse after traditional treatment vs. strong outcomes reported with TSM; why adherence (taking the pill before drinking) matters.
· Trauma, coping sk
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Chapters
1. 10 Years of Conversations (00:00:00)
2. Why we need a new conversation about problem drinking (TSM setup) (00:01:17)
3. Meet Katie Lain + her 2017 turning point (00:02:43)
4. Binge drinking realities & early consequences (00:06:16)
5. FDA history, 1990s research, and Dr. Volpicelli’s role (00:07:34)
6. How naltrexone + TSM actually work; side effects; what to expect (00:15:37)
7. “Do I have to take it forever?” adherence & alcohol indifference arc (00:18:13)
8. Sponsor: Serenity Salt Spa (00:32:13)
9. Case studies: from daily bottles to effortless control; unexpected quitting (00:37:19)
10. Podcast/YouTube plans; myth-busting with Dr. Volpicelli (00:40:42)
11. ThriveAlcoholRecovery.com + discreet at-home treatment (00:42:23)
12. Holistic add-ons, choices, and closing gratitude (01:01:22)
13. Outro + supporters (Real Life Prosthetics, Full Circle Boards, Sincerely Sawyer Photography) (01:02:39)
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