Edith Springer is attributed with bringing harm reduction to the United States. A social worker in a methadone clinic in New York, she traveled to Great Britain during the 1980s and observed how differently they were treating their patients. Harm Reduction Psychotherapy is a drastic shift from traditional treatment models and programs. The majority of treatment programs require abstinence from all mood-altering substances to enter the program. Alcohol moderation is a form of harm reduction. It challenges the way people have been creating public policy and providing treatment in the United States. The Sinclair Method was developed by the late Dr. David Sinclair. It involves taking Naltrexone one hour prior to drinking alcohol to create “pharmacological extinction.” Motivational Interviewing is a counseling theory that was developed by William R. Miller and Stephen Rollnick.