The Landing is a unique and highly effective residential treatment program where adult men can receive intense personalized treatment that is focused on promoting recovery and optimizing brain health. With a unique holistic approach that incorporates the best of science-supported western medicine with centuries-old techniques of eastern healing, The Landing provides the comprehensive services that enable men to experience true healing in body, mind, and spirit. Men who choose to heal at The Landing will work in close collaboration with teams of dedicated and experienced treatment professionals, including a board-certified psychiatrist, licensed therapist, certified substance abuse counselors, marriage and family therapy interns, nurses, and clinical technicians. By focusing solely on the specific needs of men who are struggling with chemical dependency and related co-occurring disorders, The Landing is able to provide targeted treatment that helps men to focus on their recovery, set goals, and develop the tools they need in order to reinforce their recovery from alcohol, cocaine, and other substances. Gender-specific treatment enables men to discuss sensitive and personal issues that they may be hesitant to address in a mixed-gender environment. At The Landing, men can concentrate on their recovery process without worrying about social approval and the impression they may be making on others and can form an invaluable cohesive social network with other recovering men.
It’s rare for people with alcoholism to strive for that diagnosis. No one grows up wanting to struggle with alcohol for the rest of life. But alcoholism can be sneaky, creeping into life in ways that are subtle and that can pass by unnoticed. For some, alcoholism begins with peer pressure. These people just don’t intend to start drinking, and they may not begin life even enjoying alcohol, but their peers prompt and poke them to drink alcohol. In time, as they comply with these requests from peers, they lose the ability to control how and when they drink.
Average member sobriety is slightly under 10 years with 36% sober more than ten years, 13% sober from five to ten years, 24% sober from one to five years, and 27% sober less than one year.[64] Before coming to AA, 63% of members received some type of treatment or counseling, such as medical, psychological, or spiritual. After coming to AA, 59% received outside treatment or counseling. Of those members, 84% said that outside help played an important part in their recovery.[64]
12-Step has also been criticized for putting vulnerable folks new to recovery into the hands of untrained "sponsors" who often give unsound advice and make unduly onerous demands.  Meetings have also recently been criticized for sometimes being unsafe; with no organizational supervision (every meeting is "autonomous"), there have been numerous reports in the news of sexual harassment, and even assault, occurring in the program.
observations The most frequent medical consequences of alcoholism are central nervous system depression and cirrhosis. The severity of each may be greater in the absence of food intake. Alcoholic patients also may suffer from alcoholic gastritis, peripheral neuropathies, auditory hallucinations, and cardiac problems. Abrupt withdrawal of alcohol in addiction causes weakness, sweating, and hyperreflexia. The severe form of alcohol withdrawal is delirium tremens.

While this provides a blanket of comfort and security to the many thousands of people it helps, the secrecy has not gone over well with the more scientifically minded in the treatment community. The success and acceptance of the program has clashed with the desire for evidence and statistics, leading to Pacific Standard saying that AA is not a form of professional treatment, and it offers mixed results; but as a “mutual aid organization,” the 12-Step method comes into its own. Similarly, The Atlantic goes so far as to call Alcoholics Anonymous a pseudoscientific organization, one that dictated the treatment conversation for generations (to the point where its claimed success rate of 75 percent went unquestioned for decades), but has overstayed its privileged place in American culture.


There are no dues or fees for members of AA. Prohibitive cost can be a major hurdle when it comes to sticking with a treatment program. Even if it’s working, someone might drop out if it becomes too expensive for them to stay with it. While a group might do a collection to cover expenses like rent or refreshments, there is no mandatory cost required to join AA.

The term alcoholism is commonly used amongst laypeople, but the word is poorly defined. The WHO calls alcoholism "a term of long-standing use and variable meaning", and use of the term was disfavored by a 1979 WHO expert committee. The Big Book (from Alcoholics Anonymous) states that once a person is an alcoholic, they are always an alcoholic, but does not define what is meant by the term alcoholic in this context. In 1960, Bill W., co-founder of Alcoholics Anonymous (AA), said:
If you have ever found your drinking to interfere with your career or your life at home, then chances are you’re either an alcoholic or on your way. Those who drink responsibly tend to use alcohol as a treat, something to be consumed once the day’s work is done, or at special social occasions. Those who are alcoholics tend to use alcohol for really no reason at all.
Tell your loved one that you’re worried they’re drinking too much, and let them know you want to be supportive. Be prepared to face a negative reaction. Try to roll with any resistance to your suggestions. The person may be in denial, and they may even react angrily to your attempts. Do not take it personally. Give them time and space to make an honest decision, and listen to what they have to say.
According to Vaillant's research, inner-city men began problem drinking approximately 10 years earlier than college graduates (age 25–30 y vs age 40–45 y). Inner-city men were more likely to be abstinent from alcohol consumption than college graduates (30% vs 10%) but more likely to die from drinking (30% vs 15%). A large percentage of college graduates alternated between controlled drinking and alcohol abuse for many years. Returning to controlled drinking from alcohol abuse is uncommon, no more than 10%; however, this figure is likely to be high because it was obtained from self-reported data. Mortality in both groups was related strongly to smoking. Abstinence for less than 5–6 years did not predict continued abstinence (41% of men abstinent for 2 y relapsed).
Over 6% of the Australian population meet the criteria for having alcohol consumption disorders, either alcohol dependence or intoxication disorder. Alcohol dependence is the most common disorder, occurring in about 4.1% of Australians. A greater proportion of men (6.1%) suffer from alcohol dependence than women (2.3%). 18–24 years olds (of whom 9.3% meet the criteria for alcohol dependence) are the age group most likely to be alcohol dependent in Australia. There is a higher rate of alcohol consumption disorders amongst Indigenous Australians, compared to non-Indigenous Australians.

Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others to recover from alcoholism. The only requirement for membership is a desire to stop drinking. There are no dues or fees for AA membership; we are self-supporting through our own contributions. AA is not allied with any sect, denomination, organization or institution; does not wish to engage in any controversy, neither endorses nor opposes any causes. Our primary purpose is to stay sober and help other alcoholics to achieve sobriety.

Severe childhood trauma is also associated with a general increase in the risk of drug dependency.[69] Lack of peer and family support is associated with an increased risk of alcoholism developing.[69] Genetics and adolescence are associated with an increased sensitivity to the neurotoxic effects of chronic alcohol abuse. Cortical degeneration due to the neurotoxic effects increases impulsive behaviour, which may contribute to the development, persistence and severity of alcohol use disorders. There is evidence that with abstinence, there is a reversal of at least some of the alcohol induced central nervous system damage.[74] The use of cannabis was associated with later problems with alcohol use.[75] Alcohol use was associated with an increased probability of later use of tobacco, cannabis, and other illegal drugs.[76]
As with similar substances with a sedative-hypnotic mechanism, such as barbiturates and benzodiazepines, withdrawal from alcohol dependence can be fatal if it is not properly managed.[55][61] Alcohol's primary effect is the increase in stimulation of the GABAA receptor, promoting central nervous system depression. With repeated heavy consumption of alcohol, these receptors are desensitized and reduced in number, resulting in tolerance and physical dependence. When alcohol consumption is stopped too abruptly, the person's nervous system suffers from uncontrolled synapse firing. This can result in symptoms that include anxiety, life-threatening seizures, delirium tremens, hallucinations, shakes and possible heart failure.[62][63] Other neurotransmitter systems are also involved, especially dopamine, NMDA and glutamate.[25][64]
WHO's ICD-10	"alcohol harmful use" and "alcohol dependence syndrome"	Definitions are similar to that of the DSM-IV. The World Health Organization uses the term "alcohol dependence syndrome" rather than alcoholism.[24] The concept of "harmful use" (as opposed to "abuse") was introduced in 1992's ICD-10 to minimize underreporting of damage in the absence of dependence.[100] The term "alcoholism" was removed from ICD between ICD-8/ICDA-8 and ICD-9.[103]

In a closed AA meeting, the only people who may attend are those who are recovering addicts (or those interested in learning more about overcoming their addiction). Open meetings allow the attendance of friends, spouses and family members. Whether you decide to go to a closed or open meeting depends exclusively on what you’re comfortable with. Some people would rather keep their recovery separate from the rest of their life. Others thrive on the support that loved ones can provide during meetings.
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This inventory of self is meant to be comprehensive, searching, and fearless. This does not mean that it is without fear, but that individuals are encouraged to push past their fears and be honest with listing their shortcomings. Writing lists is often an important part of Step 4 as individuals are called to cite incidents, thoughts, feelings, and past experiences that may be difficult to think about.

Signs that indicate a person is intoxicated include the smell of alcohol on their breath or skin, glazed or bloodshot eyes, the person being unusually passive or argumentative, and/or a deterioration in the person's appearance, judgment, or hygiene. Other physical symptoms of the state of being drunk include flushed skin. Cognitively, the person may experience decreased ability to pay attention and a propensity toward memory loss.


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The personal nature of the behavioral issues that lead to seeking help in twelve-step fellowships results in a strong relationship between sponsee and sponsor. As the relationship is based on spiritual principles, it is unique and not generally characterized as "friendship". Fundamentally, the sponsor has the single purpose of helping the sponsee recover from the behavioral problem that brought the sufferer into twelve-step work, which reflexively helps the sponsor recover.[25]
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