100% also recommend the Sinclair Method. It weirds me out that it's not more widely known and is not being prescribed by doctors. I had to stop taking naltrexo

100% also recommend the Sinclair Method. It weirds me out that it's not more widely known and is not being prescribed by doctors. I had to stop taking naltrexone after ~6 months because it was giving me insomnia / I started noticing an irregular heartbeat during the night (don't think this was naltrexone related though). But the effects persisted for a long time. It was like a complete reset with respect to my response to alcohol. Unfortunately after a year or two of drinking again without it, I was back to binge drinking again. Very similar pattern to OP. In the end I made the decision that it's not worth the hassle - had my last few parties with family and friends over Xmas & new year and then quit altogether from Jan 1st this year. Difficult at first but non-alcoholic beers have been amazing to trick my brain into thinking I'm having a drink with everyone else when out and about and, honestly, recently I haven't been missing it at all. Good luck OP!