The Sinclair Method (TSM)

Dr. Cottel is now offering Secure Videoconferencing appointments*

Targeted Dose Naltrexone/The Sinclair Method (TSM)

Targeted dose naltrexone, also known as The Sinclair Method (TSM) uses standard dose naltrexone (50-100mg/d) in a specific protocol for the treatment of alcohol use disorder.

Dr. Cottel and Kelly Neil, FNP, DNP are both trained on The Sinclair Method.

Learn more on the C3 Foundation website. The Sinclair Method (TSM)

A must-see movie for anyone struggling with alcohol use disorder.  One Little Pill Movie

Sunday Night with Megyn Kelly.  A Sober Approach: Can Modern Medicine Help Alcoholics Recover?

Sunday Night with Megyn Kelly.  From Actress to Advocate Claudia Christian on Treatment that Saved Her Life

Coming soon!

Stream Dr. Cottel’s pre-recorded presentation “Targeted Dose Naltrexone for the Treatment of Alcohol Use Disorder” for the September 2017 LDN Research Trust Conference

Appointment Next Steps

Thank you for scheduling your appointment with us to start your journey forward with The Sinclair Method (TSM).To better assist you, below you will find the forms for your first appointment.

In person office visits

Please print the following forms. (Total of 4 pages)

If you plan to complete the intake forms on the same day as your appointment, please arrive a few minutes early to complete the forms.

If you would like to complete the forms in advance of your appointment, please print and fax the completed forms to 858-312-6421 or email to prior to your appointment.  If emailed, please make sure that your forms are in pdf format. 

You can also simply bring the completed forms with you on the day of your appointment.

*Scheduled telemedicine appointments

Please print the following forms. (Total of 6 pages)

Please complete the forms and fax them to 858-312-6421 or email the forms to  If emailed, please make sure that your forms are in pdf format.  Please include in your preferred email and preferred method of communication.  

We offer secure video conferencing though VidyoMobile which is accessible through the web or via downloadable app for most smart phones and tablets.  

We will contact you on the day of your appointment to confirm which platform will be used for your video conferencing appointment.

Please note that the email above is not a general email for the practice, but is specially designated for TSM patients only.

*For selected patients within California when clinically appropriate.