He lost the prerogative to make that determination the moment you identified yourself an alcoholic. Please see my Naltrexone bit in this thread.

Read it a couple times, I hate when drs pull this shit. How did naltrexone even come up at all, did you mention it or did he mention it? I get the sense you came to him already with this. I would never let a dr roll the dice with my health and well-being in the way he is clearly doing in this vignette :/