Blocked and Reported Live with Mike Pesca
Sep 24, 2025
Join veteran radio host Mike Pesca as he chats with Katie about her upcoming book and the evolving landscape of addiction recovery. They discuss the Sinclair Method, a less conventional approach to drinking moderation, and challenge cultural norms around abstinence. Their light-hearted banter features pets and personal stories, while diving into the challenges and innovations in alcohol treatment. Katie also shares insights on how online communities are shaping patient-driven methods, making for an engaging mix of humor and hard-hitting topics.
AI Snips
Chapters
Books
Transcript
Episode notes
Recovery Is Diverse, Not One-Size-Fits-All
- Many people naturally 'age out' of heavy drinking; recovery trajectories vary widely.
- Historical messaging and strong marketing cemented AA's dominance despite varied outcomes.
Why Naltrexone Stayed Underused
- Naltrexone was developed for opioids in the 1960s–70s but failed to catch on for alcohol despite FDA approval in 1994.
- Cultural resistance, medical education gaps, and lack of pharmaceutical marketing blocked wider adoption.
Remove Practical Barriers To Increase Use
- Use fast-acting formulations and telemedicine to overcome naltrexone's one-hour wait barrier.
- Companies patenting quicker delivery (mints) can increase uptake by creating incentives to market the treatment.
