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A Controversial New Cure for Alcohol Dependence - Katie Herzog

2025-09-13 People & Blogs
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Chris Williamson
Chris Williamson
4.3m subscribers

Katie Herzog Details Medical Treatment for Alcohol Use Disorder Beyond Abstinence

Discover the overlooked pharmacological pathway to reducing alcohol cravings, why traditional methods like AA fail certain drinkers, and how modern medicine offers non-abstinence routes for sobriety.

Short Summary

  • Understand the difference between "Reward Drinkers" (who seek euphoria) and "Relief Drinkers" (who seek sedation).
  • Learn about the Sinclair Method: using the opioid blocker Naltrexone before drinking to extinguish the pleasure response.
  • Recognize that societal norms often treat excessive drinking as a 'badge of honor,' complicating interventions.
  • Identify key risk factors for developing Alcohol Use Disorder (AUD), including genetics and early exposure.

This discussion centers on journalist Katie Herzog’s journey quitting heavy drinking by embracing medication over willpower or traditional 12-step programs where she found cravings impossible to overcome. The conversation explores why doctors hesitate to prescribe effective, non-abstinent treatments and how cultural trends are shifting away from pervasive drinking.

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Description

Go see Chris live in America - https://chriswilliamson.live Katie Herzog is a journalist, podcaster, and writer. Expect to learn why drinking might be a viable route to going sober, why white knuckling alcohol isn’t a great option, If AA were invented today what methods would be its first step, the difference between getting sober and living sober, the different reasons people drink and the underlying reasons why people tend to drink more than others, advice for people who need to quit but don’t want to stop, and much more… - 0:00 How Relationships to Alcohol Can Vary 18:36 How Does Alcohol Addiction Manifest in the Brain? 26:58 Building Good Habits to Break Bad Habits 33:53 The History of Addiction Treatment 47:58 Is Medication the Modern Cure for Alcohol Addiction? 01:01:16 Why are Medical Professionals Still Hesitant About Addiction Medication? 01:09:27 Changing Your Relationship to Alcohol 01:22:03 Drinking Cultures are Changing Globally 01:31:53 Find Out More About Katie - Get access to every episode 10 hours before YouTube by subscribing for free on Spotify - https://spoti.fi/2LSimPn or Apple Podcasts - https://apple.co/2MNqIgw Get my free Reading List of 100 life-changing books here - https://chriswillx.com/books/ Try my productivity energy drink Neutonic here - https://neutonic.com/modernwisdom - Get in touch in the comments below or head to... Instagram: https://www.instagram.com/chriswillx Twitter: https://www.twitter.com/chriswillx Email: https://chriswillx.com/contact/

Top Comments (10)

@Michael-gh2yn 2025-09-13

I am 64 and I have not had a drink for 30 years. I never made a vow that I wouldn't drink or will never drink, I simply don't drink. I don't like all the language used about alcoholism or even use the term alcoholism itself. It seems to glamorize and still makes alcohol the center of the life of these people. AA was definitely not for me. People going to meetings and talking about drinking is not the way I want to spend my time. I simply don't drink anymore. I hate the almost zealot type way AA members talk about it and if you disagree with anything in the program you are "in denial". I have not had anyone try to insist that I drink when I tell people I don't drink. If someone asks me if I am an alcoholic I simply tell them no I just don't drink, alcoholics have to go to meetings. If you are trying not to drink and you go to meetings talking about it, I just don't see how that is helpful to me.

246 56 replies
@MitchellRScott 2025-09-13

Getting sober sucks at first and then it's the greatest thing you can imagine. Props

143 4 replies
@MK-nz5pe 2025-09-13

When you get the light bulb moment that there are a million things you can do; and only one thing you can’t, your whole life changes in unbelievably great ways! I was trapped for many years as an alcoholic. Met a counselor who walked in my shoes. I connected right away and he gave me the tools to stay sober for 13 years and counting. Love your channel!

125 4 replies
@Beau321 2025-09-13

I’m on day 45 of no alcohol, after having my first drink 29 years ago. I’ve been very lucky. I never had a fight or ended up in hospital, but I did crap my pants a few times. 😂

123 4 replies
@the.trollgubbe2642 2025-09-14

No drink for 6 days for me. Feeling really tired

78 13 replies
@motsnrub 2025-09-13

i used this method aka 'the sinclair method' 7 years ago and over the course 6 months i reduced my insane daily binge drinking of over 10 years to occasionally having a few drinks. Over the next few years I lost complete interest in alcohol and now i don't drink at all. I was completely compliant with the method. This works, this is no joke. The documentary 'one little pill' shows how this works.

75 9 replies
@miriamcombe3033 2025-09-13

Huge fucking props to that kind of vulnerability in the first 3minutes of a podcast damn

63
@ChrisWillx 2025-09-13

Hello you savages. Get my free Reading List of 100 life-changing books here - https://chriswillx.com/books/ Here’s the timestamps: 0:00 How Relationships to Alcohol Can Vary 18:36 How Does Alcohol Addiction Manifest in the Brain? 26:58 Building Good Habits to Break Bad Habits 33:53 The History of Addiction Treatment 47:58 Is Medication the Modern Cure for Alcohol Addiction? 01:01:16 Why are Medical Professionals Still Hesitant About Addiction Medication? 01:09:27 Changing Your Relationship to Alcohol 01:22:03 Drinking Cultures are Changing Globally 01:31:53 Find Out More About Katie

18 2 replies
@doober1977 2025-09-18

Go, Katie. Love your story, love your attitude, love your message. And this from an old geezer that got sober through AA thirty years ago. Can’t wait to read your book.

9
@paudical 2026-03-19

What she says about the mental side…. Constantly arguing with oneself on whether or not to drink that day. Sometimes for hours back and forth. I would love to be rid of that. Thanks for the interview, I relate to Katie a lot.

4

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