 - 1 Male gender 2 self-reported anal sex with men in the prior three months while under the influence of alcohol 3 at least one binge drinking five or more drinks on a single occasion session per week in the prior three months; 4 interested in reducing binge alcohol consumption; 5 HIV-negative by rapid antibody test or medical record documentation of HIV infection HIV positive participants; 6 no current acute illnesses requiring prolonged medical care; 7 no chronic illnesses that are likely to progress clinically during trial participation; 8 able and willing to provide informed consent and adhere to visit schedule; 9 age 18-70 years; 10 baseline CBC, total protein, albumin, glucose, alkaline phosphatase, creatinine, BUN, and electrolytes without clinically significant abnormalities as determined by study clinician in conjunction with symptoms, physical exam, and medical history. 