Help, alternatives, and second opinions

Resources

We'd rather you find help than join us if we're not the right fit. The list below covers immediate crisis support, structured treatment, peer alternatives to Realm Peers, and Sinclair Method resources you can use without us.

If you're in crisis right now

If you're in physical alcohol withdrawal — shaking, sweating, hallucinations, or seizure history when not drinking — go to an ER or call 911 in the US. Alcohol withdrawal is one of the few drug withdrawals that can be fatal, and it's treatable in hours at an ER. They will not judge you.

• 988 — US Suicide & Crisis Lifeline. Call or text. 24/7, free, in English and Spanish. 988lifeline.org
• Crisis Text Line. Text HOME to 741741. 24/7, US. crisistextline.org
• SAMHSA National Helpline. 1-800-662-4357. 24/7, free, confidential treatment referral. samhsa.gov
• 911 — for active medical emergency including withdrawal seizures.

Find structured treatment

If your situation needs more than a peer community — for example, you have a history of medical detox, current physical withdrawal, or are looking for outpatient or inpatient care — these are the right starting points.

• findtreatment.gov — SAMHSA's searchable directory. Filters for free/low-cost, sliding-scale, MAT (medication-assisted treatment), inpatient and outpatient.
• ASAM — American Society of Addiction Medicine. Their physician finder lists doctors with addiction-medicine credentials, including those who prescribe naltrexone.
• National Council for Mental Wellbeing — directory of community mental health and addiction services.

Peer communities (alternatives to Realm Peers)

Different shapes of peer support. None of them are "lesser" — they're just different, and one of them might be a better fit for what you actually want.

• r/stopdrinking — large, long-running, anonymous. Mostly abstinence-leaning but moderation-curious posts are welcome. Free.
• r/Sinclairmethod — TSM-specific community. Smaller, technical, useful for dosing questions and success stories.
• Alcoholics Anonymous — abstinence-only, spiritual framework, lifetime program. Free, in-person and online meetings everywhere. Court-friendly if you need that.
• SMART Recovery — non-religious, evidence-based, science-grounded alternative to AA. Cognitive-behavioral focus, all goals welcome (abstinence or moderation). Free.
• Moderation Management — peer support specifically for moderation goals. Smaller community, but the only one whose explicit framework is "drink less, not zero." Free.
• Recovery Dharma — Buddhist-rooted, non-theistic peer recovery. All paths to recovery welcome. Free.

The Sinclair Method without us

You don't need Realm Peers to do the Sinclair Method. The medication is generic and cheap; the protocol is well-documented; many primary care doctors will write the prescription if you ask directly.

• The Sinclair Method UK — clinical explainers, dosing protocol, doctor scripts. Best single educational resource.
• C3 Foundation — non-profit founded by Roy Eskapa (author of The Cure for Alcoholism). Maintains a list of TSM-aware doctors, runs a forum, free resources.
• The Cure for Alcoholism by Roy Eskapa, MD — the definitive consumer book on Sinclair's research and protocol.
• Generic-prescribe-only telehealth if you don't have a primary care doctor: Plushcare, MDLive, Teladoc, Doctor on Demand. Show them the doctor handout and ask for a naltrexone prescription. Cost: typically $0–80 per visit if uninsured.

We don't recommend Ria Health, Oar Health, or Monument as standalone services. They run their own competing community/coaching programs. If you want a community with your Sinclair Method, that's what Realm Peers is for. If you want telehealth that just writes the script and gets out of the way, the four generic services above are the cleaner path.

Self-assessment

If you're not sure where you stand, the AUDIT-C is the standard three-question alcohol screener. It's used by primary care doctors. A score of 4+ for men or 3+ for women suggests risky drinking; 6+ usually means a longer conversation with a doctor is appropriate.

• NIDA — alcohol screening tools (AUDIT, AUDIT-C, single-question)
• Rethinking Drinking — NIH/NIAAA public site with a calculator, a "what counts as a drink" guide, and a sober plan builder. Free.