Good question Frank. There are two aspects of alcohol or narcotic dependence. 1. The physical craving 2. The mental obsession. The physical craving is the person's body saying "I need the drug" and the mental obsession says "how can I get the drug to relieve the mental pain I am experiencing."
Vivitrol (Naltrexone) helps to treat one aspect (of the two headed monster) which is the physical craving. It stops the body from craving the drug, and it works very well at this. It also helps quite a bit with the mental obsession because once the physical craving is at bay, the mind tends not to obsess on using the drug as much.
Having said all of that, the Vivitrol is not effective when the person experiences a significant "trigger" to use (stress, trauma, loss...). The triggers tend to over-ride the effect of the Vivitrol and the person ends up using.
What we have ever found to be the best treatment for the mental obsession is a person taking part in a 12 Step fellowship. There an addicted person learns from other addicted, sober people what to do when the triggers hit. They also pair a person up with a sponsor so that they have someone to call when a trigger hits.
Is Vivitrol or 12 Step the solution to substance addiction? No, if there was something that worked 100%, we wouldn't be having this discussion.
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