For alcohol that may be true, but the ultimate goal of SMART is sobriety. There is another (smaller) branch of REBT drug-based therapy called 'Rational Recovery

For alcohol that may be true, but the ultimate goal of SMART is sobriety. There is another (smaller) branch of REBT drug-based therapy called 'Rational Recovery' that uses naltrexone (an opiate blocker) before drinking to reduce the pleasurable feeling associated with drinking. I tried it, but it didn't work for me. It certainly makes drinking less pleasurable, but I was using it as a coping mechanism for my anxiety. I think for some people, that approach might work. Also, if a person solves their underlying psychological problem which led to the need of alcohol for a coping mechanism, I think it might work as well. I'm probably saddled with anxiety for life, but I've learned healthy coping mechanisms. Besides the taste of a cold beer after mowing the lawn, I don't miss it in the slightest.