Lesson 1531: Overview of Drug Therapy (Naltrexone, Acampate, etc.)
Duration:75 minutes
Topic Introduction:
This course focuses on an overview of common medication options for alcohol use disorder/alcohol dependence, such as naltrexone, acamprosate, disulfiram, and some adjunctive medications that may be evaluated by a specialist. Many people become anxious when they hear about "taking medication to quit drinking": on the one hand, they hope "is there a drug that can stop me from drinking?", and on the other hand, they fear side effects, being labeled a "severe patient," and even harbor resentment due to past experiences of self-discontinuing medication or mixing it with alcohol. This course will not provide any specific dosages or personal prescriptions, nor will it replace the professional judgment of addiction specialists, psychiatrists, and family physicians. Instead, it helps you understand, in general, what these medications help with (e.g., reducing cravings, buffering withdrawal symptoms, increasing discomfort when drinking), what they cannot replace (e.g., psychotherapy, lifestyle adjustments, social support), and the principles that require special attention in safe use (e.g., following doctor's orders, not increasing, decreasing, or stopping medication on your own, understanding interactions with alcohol and other medications). We will also discuss how to have a more equal and honest dialogue with doctors in the clinic, bringing your own questions and hesitations with you. We will combine Eastern healing tea, Japanese food therapy and seal carving practice so that "medication" is no longer just about passively swallowing a pill, but is embedded as part of your overall healing plan: the medicine helps the brain and body to have a chance to calm down, and you use small actions in your life to decide where this calm will go.
▲ AI Interaction: Write down your "Medication Questions and Expectations" in a medical consultation script
Many people have a multitude of questions about medication before their appointment, but during the few minutes they see the doctor, they can't utter a single word, only nodding or remaining silent, then anxiously taking or stopping their medication. This interactive session will help you prepare a script for a "Medication Questions and Expectations" dialogue, which you can use in appointments, online consultations, or when communicating with family members. Please follow these steps to write your script:
① Reflect on your past experiences related to "medication": Have you taken any medications related to alcohol use disorder, anxiety, depression, or sleep? What happened during that time? What were the positive effects, any discomfort, or concerns? Please describe briefly in 5–8 sentences.
② Write down your thoughts on "using naltrexone, acamprine, or other anti-alcohol medications".Three ExpectationsExamples include "I hope my cravings will be weaker," "I hope I can sleep better at night," and "I hope it won't affect my work responsiveness."
③ Write down your biggest concern about "taking medicine".Five questionsFor example, questions like "Will all the symptoms return as soon as I stop taking the medication?", "Will it damage my liver?", "What will happen if I accidentally drink alcohol?", "I'm already taking other psychiatric medications, will there be any conflicts?", and "Will others think I'm very serious?"
④ Write down at least five aspects you would like your doctor to answer during the first detailed explanation: the main effects of the drug, common side effects, physical indicators that need to be monitored, interactions with alcohol and other drugs, and approximately how long it will take to see changes after taking the medication.
⑤ Finally, please write a 5-8 sentence "opening statement" for your medical visit, using the first person to tell the doctor about your current situation, your efforts to change things, and your conflicting feelings and expectations regarding the medication. For example: "I am not completely against taking medication, but I am a little scared and hope to hear your explanation and work together to assess whether it is suitable for me."“
After submission, AI will help you organize a well-structured medical consultation script. You can print it out, save it on your phone or in your notebook, and read it aloud during your actual consultation—that's about your courage to fight for clarity and safety, not "trouble."
○ Music Guidance: Give your body a transitional rhythm in the few minutes before and after taking the medication.
For some, the act of swallowing pills evokes a multitude of complex feelings: shame ("I actually need medication"), fear ("Will I be unable to live without it?"), resistance ("I don't want to admit I'm this sick"), and may even lead to subconscious procrastination, forgetting, or simply stopping taking the medication. This lesson's music exercise aims to provide a transitional rhythm for your brain and body during those few minutes "before and after taking your medication," so that you are not alone in facing the pills, but rather accompanied by a stable melody.
Practice method: Choose an instrumental piece that is 6–8 minutes long, with a steady rhythm, not too stimulating, and with a melody that has a "slow unfolding" feel. Before and after each dose of medications related to alcohol use disorder (such as naltrexone, acamptolic acid, etc.) prescribed by your doctor, please set aside 5–10 minutes: First, sit down, play the music, and mentally confirm three things—① Why am I willing to continue taking the medication today? (Even if it's just "because I don't want to go back to those worst days"); ② What fears or resistance do I have about this medication right now? (Allow them to exist); ③ Besides the medication, what small things do I plan to do today to support myself? (For example, eat a well-prepared meal, decline a drinking invitation, write in a journal for 10 minutes).
While the music is playing, let your breathing be natural. There's no need to force yourself to take deep breaths; just pay attention to whether your shoulders, jaw, and brow are slightly relaxed. As the music nears its end, you can say to yourself, "This medicine is doing what it can, but the direction of my life is still up to me to choose."“
If you ever decide to discuss reducing or stopping your medication with your doctor, you can use the same song to help you through this transition: remind yourself that change is part of the plan, not a "failure".
○ Eastern Healing Tea: Prepare a body-centered tea for "medication days".
During medication treatment, the body is both the object of care and the site where side effects and discomfort are managed. Many people tend to focus solely on lab results, neglecting the opportunities to gently care for their bodies each day. This section combines 24 types of Eastern healing teas, inviting you to prepare a body-centered tea for "days of medication," while respecting medical advice and avoiding adverse interactions with medications.
Please confirm with your doctor whether there are any beverages you should avoid while taking this medication (such as alcoholic drinks, excessive caffeine, etc.). Within safe limits, you can choose a tea that symbolizes "soothing and restorative" effects, such as mild genmaicha, lightly roasted oolong, lightly fermented green tea, or herbal drinks like chamomile, chrysanthemum with a small amount of goji berries, or grapefruit peel. The key is not "miraculous effects," but establishing a completely different bodily memory from alcohol: when you take your medication, what accompanies it is no longer the spiciness, dizziness, and loss of control of alcohol, but a clear, gentle, and warm drink that won't drag you down.
You can brew this tea at a fixed time each day (e.g., one hour after dinner, or 1–2 hours before bedtime, as directed by your doctor) and use it as a signal for "today's treatment summary": review whether you took your medication on time, what subtle changes occurred in your body, whether any worrying symptoms appeared that you need to record and report to your doctor, and even if you did one small thing that was good for your body today.
When you take your first sip of tea, don't force yourself to feel grateful. Just say to yourself, "No matter how long this treatment takes, I want my body to have the opportunity to be treated gently, rather than just being assaulted by drugs and alcohol." When you look back on this phase later, you may find that you remember not only the names and dosages of the medications, but also these little rituals that helped you rebuild your relationship with your body.
○ Japanese Dietary Therapy: Small meals to reduce the burden on the liver and digestive system during medication treatment.
During drug treatment, the liver, digestive system, and overall metabolic system often bear a double burden: dealing with the burden left by long-term alcohol consumption and metabolizing newly added medications. If the diet remains chaotic, high in oil and salt, or involves irregular eating habits, the body is like an already exhausted factory forced to work overtime. This section borrows the framework of 20 Japanese dietary therapies, inviting you to design a "drug treatment friendly" Japanese meal combination from the perspectives of gentle nourishment, cleansing, digestive regulation, sleep care, and blood and qi repair.
For example, in yourOn the day of medication or before and after an outpatient follow-up visitYou can prepare the following for yourself: a bowl of plain congee with pickled plums or kelp broth and vegetables, allowing your stomach to rest in its gentle texture; paired with a small amount of salmon congee or chicken and ginger congee, providing the body with warm and easily absorbed protein; if you are chronically fatigued and have low energy, you can add dishes such as bonito flakes, spinach and sesame salad, or black bean honey stew under professional advice, as a way to slowly repair your blood and metabolism. For those who are emotionally stressed or have impaired sleep, you can prepare dishes such as bonito broth with onions, soy milk and mushroom soup, or sweet potato and yuzu honey stew in the evening to provide a gentler soothing effect on the nervous system.
You don't need to prepare a complicated menu all at once. Just choose one or two combinations that you can realistically manage in your daily life and name them: for example, "Outpatient Day Mild Meal" or "Medication Treatment Meal Number One." The key is to ensure that your body is not treated roughly during this period, but receives stable and predictable care.
It is recommended to record in your log: When you deliberately prepare such a meal for yourself during the course of medication, does your fatigue, stomach discomfort, or mood swings change even slightly throughout the treatment? These differences may not be immediately reflected in impressive indicators, but they are quietly telling you that your body is being taken care of by you and the medication, rather than being forced to endure it alone.
Reduce the burden on the liver and digestive system
Qi and blood and sleep support
Healing Recipes
/home2/lzxwhemy/public_html/arttao_org/wp-content/uploads/cookbook/jp_diet-1531(Alternatively, you could try relaxed="1" or use an existing filename.)
○ Theme Mandala: Observe the "ring composed of drugs, psychological interventions, and life interventions" (observe, not draw).
Please choose a mandala with multiple concentric circles and intricate patterns in different layers. Simply observe it, do not draw it—a mandala is not about drawing something, but about observing it. You can imagine the innermost circle as the "physiological and neurological level," including the brain's adaptation to alcohol, craving circuits, and the receptors and neurotransmissions acted upon by drugs; the middle circles represent "psychological and relational interventions," including motivational interviews, cognitive-behavioral strategies, family support, and group resources; the outermost circle symbolizes "lifestyle and sense of meaning," such as work structure, daily rhythms, diet and sleep, interests, and values.
While observing, first focus your gaze on the inner circle and tell yourself, "The medication is primarily working here, giving certain oversensitive systems a chance to calm down." Then slowly move your gaze outward, along one direction through the middle and outer circles, imagining that you are adding support to the calm in the inner circle: psychotherapy helps you see yourself, family support makes you feel less alone, Japanese food therapy and Eastern tea help the body repair itself, and daily routines give your new life a foundation.
Next, you can practice a new way of understanding in your mind: medicine is neither a magic key nor a label of shame, but rather a part of the innermost circle of this mandala—if only this part is lit up, and the other circles are barren, the pattern is still not enough to support you to go far; as the other circles gradually become richer, the inner circle does not have to maintain the same intensity forever, and can be adjusted under the evaluation of a doctor.
Even spending just a few minutes each day looking at this mandala is a reminder to yourself: you are not "a person who only relies on drugs," nor are you "a person who completely rejects drugs," but rather someone who is working on multiple paths simultaneously—drugs, psychology, and life, which are slowly piecing together a healing picture that belongs to you.
[mandala_gallery1531]
○ Chinese calligraphy and seal engraving practice: "Medicine aids its movement, the mind settles its direction"
The seal carving practice sentences for this lesson are:
“"Medicine helps one move, and the mind settles one's direction."”
Many people undergoing drug treatment unconsciously divide themselves into two categories: "those who live on medication" and "those who persevere on willpower," as if the former has lost their value. This course uses Chinese calligraphy and seal carving as a medium, inviting you to carve a new attitude into a seal—medication can help you walk more steadily, but the direction is still determined by your heart.
Even without a stone seal and carving knife, you can use a brush or pen to simulate the shape of seal carving on paper: make characters like "medicine," "assist," "heart," and "calm" both square and rounded, with slow, slightly clumsy lines, as if each stroke is being carved into the stone surface little by little. When writing the four characters "medicine helps one's journey," you can recall those days when, without any professional help, you were tormented by relapse, withdrawal symptoms, and emotional outbursts, to the point where you could barely stand up, acknowledging that the medication provides a kind of help that "temporarily prevents the feet from slipping." When writing the four characters "heart calms its direction," deliberately slow your breathing and silently repeat in your heart: even with medication, I still have the right to decide the direction I want to go—for example, "I don't want to hurt my family anymore," "I hope I can still walk in the future," and "I hope one day I can find satisfaction in days without alcohol."
Once finished, outline the seal with a red pen and use these eight characters as your "Treatment Attitude Seal." You can stick it near the medicine box, on your bedside table, or take a picture and set it as your phone wallpaper. Every time you pick up or put away the medicine box, glance at this sentence and let it remind you: medicine is just a crutch to help you walk, not the master that makes decisions for you; what truly determines where you are going is that still trembling but striving and refusing to give up heart.
○ Guided Art Therapy: My "Therapy Timeline"—The Interweaving of Medication, Diet, and Lifestyle
Draw a horizontal timeline on a piece of paper, marking several key milestones from left to right: for example, "Starting to seriously consider seeking help," "First visit to an addiction clinic or psychiatrist," "First time being advised to use a certain medication," "First time taking medication on time for a full week," "First time discussing dosage adjustments with a doctor," and "A mid-term goal that you hope to achieve in the future (such as maintaining a stable drinking/abstinence state for a certain period of time)." Circle each milestone, write a brief description of the event above it, and leave the space below for describing your feelings and support resources.
Next, below the timeline, draw several thin lines in different colors: one to represent "medication treatment" (fluctuations represent changes in dosage or adherence), one to represent "diet and physical care" (including Japanese therapeutic meals, Eastern healing teas, regular meals, etc.), and one to represent "psychological and relational support" (psychotherapy, support groups, family or friends, AI, and journaling, etc.). You don't need to draw them precisely; just let yourself see that your treatment is not just a list of medications and test results, but a process in which many lines intertwine.
Next to each particularly difficult point in your life, write down "the three things that sustained me at that time": perhaps a doctor's words, a bowl of porridge that you were willing to eat even when you felt nauseous, a cup of tea that kept you company late at night, a piece of music, a diary entry, or simply the fact that you are still alive.
Once completed, you can draw an unfilled circle at the far right of the timeline and write "Undecided/Under Exploration" to remind yourself that the treatment is not a black-and-white "success or failure," but a path that is still extending. You have the right to adjust your pace, tools, and goals during the process, rather than being completely defined by a particular treatment method.
[arttao_Healing_Course_tts_group1531_1535]
Lesson 1531: Log Guidance
① Write down your current intuitive feelings about using naltrexone, acampate, or other alcohol-related medications: What are your expectations? What are your fears or resistance? Please be as honest as possible and do not embellish.
② Reflect on your past experiences with medication (whether in psychiatry, internal medicine, or other fields): Was there ever a time when you felt "well explained to" and "your choice was respected"? Was there ever a time when you felt you were simply "being told to do as instructed"? Please write one paragraph for each, and indicate which type you hope your future medication experience will be closer to.
③ Combining the Eastern healing tea drinking and Japanese food therapy suggestions in this lesson, design a "treatment day micro-care plan" for yourself: including what kind of tea to drink, a practical Japanese snack, and a small thing that allows you to take a short break before and after taking the medication (such as listening to music or writing three lines in a diary).
④ Write down three questions and three pieces of information that you plan to bring to the doctor at your next outpatient visit or consultation: the questions can be about the efficacy of the medication, side effects, the length of the treatment course, etc.; the information can include your recent drinking habits, physical discomfort, mood changes, etc.
⑤ Finally, write 3–5 sentences to yourself or someone else who is “considering whether to accept drug treatment”: Do you want him/her to know what the drug can and cannot do? Do you want him/her to remember where they still have choices? And which sentence would you like to gently remind them—"Medicine helps them move forward, and the mind sets their direction"?
Please log in to use.
When you're willing to stop simply viewing medication as "either rely entirely on medication or don't use it at all," and instead earnestly understand the role of drugs like naltrexone and acamprine in the overall treatment; when you use AI to organize your questions and expectations, and find peace before and after medication through short periods of music and Eastern healing tea; when you use Japanese food therapy to reduce the burden on your liver and digestive system, and observe the multiple loops formed by medication, psychological intervention, and life interventions in a mandala; when you redefine your attitude towards treatment with the seal engraving "Medicine helps its progress, the mind settles its direction," and depict a realistic timeline of treatment in your paintings and journal, you will no longer just be "the one prescribed medication," but will gradually become a practitioner who can communicate with doctors, speak up for their body, and uphold their own direction amidst complex treatment choices. Recovery from alcohol use disorder is never just a story of a single drug, but rather a series of turns towards life under the combined influence of many forces.

