By the time Tara wound up at Schick Shadel Hospital, a 10-day inpatient rehab facility just south of Seattle, she had hit a personal low. She’d always been a drinker — alcoholism[1] runs in her family — but things had spiraled over the past few years. More than once, she found herself sobering up in jail, trying to remember what made her husband call the cops the night before.

She had already tried traditional rehab at an inpatient facility in Eastern Washington, as well as Antabuse, the drug meant to help patients stay sober by making them violently ill when they drink. Neither kept her sober for more than a few days. Alcoholics Anonymous was a bust, too: “I went to my first meeting, cried all the way through it, then went out and proceeded to get massively wasted.” 

Tara, who is being referenced by a pseudonym to protect her privacy, realized that if she didn’t do something, she was going to lose her family. It was her husband who pushed her to try Schick Shadel, a treatment center in Burien, Washington, that promises to eliminate cravings within 10 days and claims a success rate of nearly 70%.  

There, Tara found a type of treatment altogether different than the spiritual transformation emphasized in most 12-step-based programs. Schick Shadel treated addiction with brute force, like a physical foe. “It was nice to have permission to reject AA,” Tara said.

But Schick Shadel’s treatment involves some strategies experts consider fringe, even borderline unethical. The center administers high doses of alcohol combined with a nausea-inducing drug or mild electric shocks‚ a method called “aversion therapy.” It also involves interviews with counselors when the patient is under sedation. A 10-day stay at the center costs roughly $22,000. 

And although Tara and

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