Given the extremely strong negative reaction to alcohol that patients who are taking Disulfiram experience and given that this is apparently the sole effect that alcohol abuse cessation treatment using it relies on, it is my belief that the treatment is unconscionable and inhumane. I quit drinking after more than 25 years of problematic drinking using naltrexone (The Sinclair Method) and, given my experience with alc…
"I urge people who have a problem with drinking and wish to quit, who for whatever reason do not feel that 12 step programs like Alcoholics Anonymous" I urge people to see an addiction specialist first. Do not see AA first. See a doctor asap. This disease is serious and has a high fatality rate. AA meetings are like a club after you have it under control (EG. don't attend drunk). Disulfiram: An old military drug. Thi…
A drug that cures alcoholism may be the next anti-anxiety medication
141–150 of 187 posts
Re: A drug that cures alcoholism may be the next anti-anxiety medication
#142My Dad was not an alcoholic but he had anxiety due to a long illness. Anxiety is terrifying to the person who has it but also to those around them. It starts silently and even people close to them may not even notice. Looking back when I was with my Dad little things now stand out more quirks as to why small things now upset him. As Dad's illness got worse I could see the anxiety but still I wasn't sure what I was se…
Did you ever get a chance to talk to your dad about the illness and the drugs effect on him personally? Did it take awhile to convince him to take it given his stoic nature?
His mind was clear up until the last two months because he was in the hospital and then palliative care. So that was not unexpected to be said since he'd never be home again.
It was quick really only about a month until he died once in palliative care. Although I could tell he was putting on a brave face. Dad died by my side in his sleep in palliative care but he was clear of mind two days before. He was never alone at home, in the hospital, or in palliative care I was always there.
Anyway I could ramble on about it more but really my family is lucky to live in a country with socialized medical system. I'm also thankful for drugs there are some amazingly helpful drugs can ease suffering of many people.
Re: A drug that cures alcoholism may be the next anti-anxiety medication
#143When you have an error, you have to handle it, or someone up the chain has to, or the program crashes(Or behaves in an undefined way, if it's a language like C that makes it way too easy to ignore return codes).
Try/catch directly expresses all that in a language construct without requiring you to explicitly think about it much, except in functions that throw or functions that catch.
Requiring functions to declare throws fixes most of the issues with it.
Re: A drug that cures alcoholism may be the next anti-anxiety medication
#144That said, there is value in studying the texts of AA. They contain a lot of wisdom. The 12 steps as written by Bill Wilson in Akron and modified through debate with other real alcoholics are especially interesting and are based on time tested methods of self-examination. The "God" word doesn't have to be a hangup. Bill Wilson and Dr. Bob were Christians, so they used God in the sense of the creator of the Universe, but it's acceptable and encouraged that a person substitute their own conception of God.
You don't have to go to a meeting to find a sponsor. A sponsor is only supposed to explain how the 12 steps work. A sponsor is not your therapist, guru, priest or companion. This is often lost in modern AA since so many people are accustomed to talk therapy. You could call the AA hotline in your town and tell them you are looking for someone to take you through the 12 steps.
People say a lot of things about AA without ever talking about the steps [1], which are the core of AA. It's hard to overestimate the brilliance of what Bill Wilson came up with on Dr. Bob's kitchen table. A quick summary:
Steps 1 to 3: Getting clarity about how bad the problem is, about whether you can solve it by yourself, and if not, who can you ask for help and how willing your are to humble yourself to ask for help. Are you done yet? Are you ready to surrender?
Steps 4 to 7: Cognitive Behavioral Therapy (CBT), Dialectic Behavioral Therapy (Wise Mind [2]), with Step 5 being Cognitive Processing Therapy for trauma, which entails telling your trauma to someone as a way to acknowledge and release it. In all this you learn meta-cognition or thinking about thinking and feeling. Are my feelings based on anything real or am I practicing one of the cognitive distortions [3]? You learn to be the observer of yourself, which is the key into meditation. Becoming the witness is that path to your higher power, so the last part of this phase is to resolve to not spin your wheels in repetive thoughts and emotions, but turn them over to your observer and witness of yourself. From that mental standpoint, it becomes much easier to ease your mind into a calmer state and hopefully eliminate what drove you to drink in the first place.
Steps 8 to 12: Rejoining the human race, since most severe alcoholics end up isolated and alone. Getting right with others is an important part of maintaining getting right with yourself. This maintanence is extremely important and most successful recovery persons "carve out a little part of each day" to practice this maintenance. An important part of this maintenance is helping other alcoholics, which is expressed in the saying "You have to give it away to keep it"
If you go to an AA meeting and no one there understands any of this, then find another meeting.
I have previously written about this here: https://news.ycombinator.com/item?id=29951607
My not real name email is my profile if anyone has any questions about the 12 steps
[1] https://www.aa.org/the-twelve-steps
[2] https://dbtselfhelp.com/dbt-skills-list/mindfulness/wise-min...
[3] http://www.pacwrc.pitt.edu/curriculum/313_MngngImpctTrmtcStr...
Re: A drug that cures alcoholism may be the next anti-anxiety medication
#145Earlier quoted context omitted.
But we seem to have no issue, with Suboxone. That is, quite literally, replacing one addiction with another. Opiate/oid withdrawal is pretty awful. You feel like you will die, but that seldom happens (unless you have other issues). Withdrawal from alcohol, on the other hand, is, quite frequently, deadly (that's why medical alcohol detox is recommended). Benzo withdrawals make alcohol withdrawals look like a case of t…
Benzos are often given short term- 3-5 days on a taper schedule to someone in detox. It is not recommended to give a script to an alky. Benzos are not as dangerous to withdraw from as alcohol but are horrible to detox from as they are fat soluble.
That's not been my experience (and I've seen this play out for quite a while). I'm interested to know why this is the case.
Re: A drug that cures alcoholism may be the next anti-anxiety medication
#146Given the extremely strong negative reaction to alcohol that patients who are taking Disulfiram experience and given that this is apparently the sole effect that alcohol abuse cessation treatment using it relies on, it is my belief that the treatment is unconscionable and inhumane. I quit drinking after more than 25 years of problematic drinking using naltrexone (The Sinclair Method) and, given my experience with alc…
"I urge people who have a problem with drinking and wish to quit, who for whatever reason do not feel that 12 step programs like Alcoholics Anonymous" I urge people to see an addiction specialist first. Do not see AA first. See a doctor asap. This disease is serious and has a high fatality rate. AA meetings are like a club after you have it under control (EG. don't attend drunk). Disulfiram: An old military drug. Thi…
This is definitely not true having worked with addiction specialists on TSM myself. Plus I think it is safe to consider Sinclair himself as an addiction specialist
For those looking to learn more about different ways to use Naltrexone to treat alcoholism: https://academic.oup.com/alcalc/article/36/1/2/137995
Re: A drug that cures alcoholism may be the next anti-anxiety medication
#147As I comment on many HN posts, I cannot exaggerate the impact that alcoholism medication has had on my life. It is only tangentially related here, as this comment is not about disulfiram but rather naltrexone, a drug with similar goals but a very different mechanism of action This is all to say, if you or a loved one is struggling with alcoholism, I highly recommend looking into The Sinclair Method. Check out /r/alco…
Re: A drug that cures alcoholism may be the next anti-anxiety medication
#148Earlier quoted context omitted.
Antabuse can lead to death or dangerous healh problems. The doctor is and will be responsible for that, so he wont take the risk.
"Antabuse can lead to death or dangerous health problems." So can a slew of other drugs. You should see the drug risks for stuff folks take for autoimmune disorders. It isn't just up to the doctor to mitigate the risks: Patients must do their part as well (blood tests and so on). And most importantly: So can alcoholism. Alcoholism kills slowly. Withdrawal can kill not-so-slowly. Somehow, do you think the doctor is no…
Re: A drug that cures alcoholism may be the next anti-anxiety medication
#149Earlier quoted context omitted.
"I urge people who have a problem with drinking and wish to quit, who for whatever reason do not feel that 12 step programs like Alcoholics Anonymous" I urge people to see an addiction specialist first. Do not see AA first. See a doctor asap. This disease is serious and has a high fatality rate. AA meetings are like a club after you have it under control (EG. don't attend drunk). Disulfiram: An old military drug. Thi…
> You will be rejected literally by tens of potential sponsors until one says yes (hang in there!) That's not true at all, but it's a club with millions of people. Other than that appreciate your breakdown.
Re: A drug that cures alcoholism may be the next anti-anxiety medication
#150I am an alcoholic myself, sober for five months now after a long-term therapy. I am sceptical about taking meds for this desease. The change of life and coping with stress is the best way to avoid getting in relapse of use. The therapists said meds might be a help, but are not the solution. Its a trap for the dependant who might think now hes cured and does not find himself changing his life and solving problems whic…