Why have I not heard of medicines available to assist alcoholics and addicts in their struggle?

This is a very good question. Our country’s treatment of addiction has been absurdly ineffective and misguided since its inception. We have done a great job with the psychosocial/behavioral aspect of addiction but still have abysmally low rates of sobriety. Why is that? It is because the physiologic and pharmacologic aspect of treatment has been ignored and under-developed. It would be unheard of to withhold insulin from an un-controlled diabetic and insist upon only providing intensive nutritional and exercise recommendations. Proper nutrition and exercise would certainly help, and that behavioral modification is required for success. But, quite simply, for many diabetics this would not be sufficient. Many diabetics require insulin in addition to dietary modification and motivation. The treatment of addiction should be approached in this comprehensive manner as well