I despise vivitrol. Two people I knew back when I was an addict used it to try and get clean, they're both dead due to trying to "break through" as it does nothing for your cravings, or the reasons you started using in the first place.

Buprenorphine was much more effective for myself, and I broke my six year heroin addiction using it, legally from my government for a nominal cost of a few dollars per day.

America seems hung up on abstinence and "cold turkey" as if it's the be-all end-all of treating addiction. Just use willpower, right? Vivitrol seems "perfect" in that environment, as it should stop you chemically from using, but the thing is that people don't want to be junkies, they want to live their lives and be happy, without the noose around their neck that is addiction. But if you don't deal with why they started using, how can you expect someone to heal?