Various forms of group therapy or psychotherapy can be used to deal with underlying psychological issues that are related to alcohol addiction, as well as provide relapse prevention skills. The mutual-help group-counseling approach is one of the most common ways of helping alcoholics maintain sobriety.[6] Alcoholics Anonymous was one of the first organizations formed to provide mutual, nonprofessional counseling, and it is still the largest. Others include LifeRing Secular Recovery, SMART Recovery, Women For Sobriety, and Secular Organizations for Sobriety.[127] Rationing and moderation programs such as Moderation Management and DrinkWise do not mandate complete abstinence. While most alcoholics are unable to limit their drinking in this way, some return to moderate drinking. A 2002 US study by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) showed that 17.7 percent of individuals diagnosed as alcohol dependent more than one year prior returned to low-risk drinking. This group, however, showed fewer initial symptoms of dependency.[128] A follow-up study, using the same subjects that were judged to be in remission in 2001–2002, examined the rates of return to problem drinking in 2004–2005. The study found abstinence from alcohol was the most stable form of remission for recovering alcoholics.[129] A long-term (60 year) follow-up of two groups of alcoholic men concluded that "return to controlled drinking rarely persisted for much more than a decade without relapse or evolution into abstinence."[130]
Before you do anything, it’s important to know whether your friend or loved one has an alcohol addiction. Alcohol use disorder, or alcoholism, is more than just drinking too much from time to time. Sometimes alcohol as coping mechanism or social habit may look like alcoholism, but it’s not the same. People with alcohol use disorder don’t drink in moderation, even if they say they’re only having one drink. To learn more, read about alcoholism and its symptoms.

Ascites, the accumulation of fluid in the abdominal cavity is most commonly caused by cirrhosis of the liver. Some of the other causes of ascites include portal hypertension, congestive heart failure, blood clots, and pancreatitis. The most common symptoms include increased abdominal girth and size, abdominal bloating, and abdominal pain. Treatment depends on the cause of ascites.


Many 12-Step groups exist for individuals who are uncomfortable with the religious nature of traditional AA, such as AA Agnostica, which is designed for atheists and agnostics. The goal of Step 2 is often taken to be more spiritual in nature than religious, as it asks each individual to accept that they require help from something greater than themselves in order to move forward in recovery.
Cirrhosis of the liver refers to a disease in which normal liver cells are replaced by scar tissue caused by alcohol and viral hepatitis B and C. This disease leads to abnormalities in the liver's ability to handle toxins and blood flow, causing internal bleeding, kidney failure, mental confusion, coma, body fluid accumulation, and frequent infections.
At Origins, our goal is seamlessly integrate cutting-edge, evidence-based medical and clinical services within the timeless 12-Step model. We understand that quality treatment addresses all aspects of the person, including the spiritual components of wellness. The 12-Steps are a spiritual program of action that can change our perceptions, and bring new purpose into our lives. By connecting with a deeper sense of meaning, those of us in recovery are able to positively impact the lives of those around us.

The program offers a comprehensive array of clinical services for individuals seeking recovery from alcohol and other drug addiction. Our team is unique in that it brings together experts from the field of medicine, psychiatry and addiction, which gives us the ability to care for patients with both addiction and co-existing medical and/or psychiatric illnesses.
Jump up ^ "HEALTH AND ETHICS POLICIES OF THE AMA HOUSE OF DELEGATES" (PDF). June 2008. p. 33. Archived (PDF) from the original on 20 March 2015. Retrieved 10 May 2015. H-30.997 Dual Disease Classification of Alcoholism: The AMA reaffirms its policy endorsing the dual classification of alcoholism under both the psychiatric and medical sections of the International Classification of Diseases. (Res. 22, I-79; Reaffirmed: CLRPD Rep. B, I-89; Reaffirmed: CLRPD Rep. B, I-90; Reaffirmed by CSA Rep. 14, A-97; Reaffirmed: CSAPH Rep. 3, A-07)
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:
While group therapy can help teens stay sober, groups that include a number of teens who also engage in disordered behaviors can actually tend to increased alcohol use in this age group. Family interventions for alcoholism that tend to be effective for teens include multidimensional family therapy (MDFT), group therapy, and multifamily educational intervention (MFE). MDFT has been found to be quite effective. Longer-term residential treatment, often called rehab, of three to five months that addresses peer relationships, educational problems, and family issues is often used in treating alcohol use disorder in teens.
AA says it is "not organized in the formal or political sense",[25] and Bill Wilson called it a "benign anarchy".[26] In Ireland, Shane Butler said that AA “looks like it couldn’t survive as there’s no leadership or top-level telling local cumanns what to do, but it has worked and proved itself extremely robust.” Butler explained that "AA’s 'inverted pyramid' style of governance has helped it to avoid many of the pitfalls that political and religious institutions have encountered since it was established here in 1946."[27]
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Diabetes: There is a high risk of developing diabetes type 2, and people with diabetes have a high chance of complications if they regularly consume more alcohol than is recommended. Alcohol prevents the release of glucose from the liver, resulting in hypoglycemia. If a person with diabetes is already using insulin to lower their blood sugar levels, hypoglycemia could have serious consequences.
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.

Steps 1-9 set up a strong spiritual foundation and a new way of life without drugs and alcohol. With Step 10, individuals are seeking daily accountability for their actions. Recovery is ongoing, and individuals continue to examine how their thoughts, words, behaviors, and actions impact daily life and how to keep themselves in line with their faith and God’s will. Individuals are asked to take inventory every day and immediately correct any wrongs that are apparent. This may be accomplished by keeping a journal or devising another method of self-examination each evening, for instance. By understanding how certain things may make a person feel and therefore act, individuals can become more aware of themselves and their behaviors. Step 10 involves personal reflections and a kind of spot-checking to keep oneself balanced emotionally.


In 1941, interviews on American radio and favorable articles in US magazines, including a piece by Jack Alexander in The Saturday Evening Post, led to increased book sales and membership.[23] By 1946, as the growing fellowship quarreled over structure, purpose, and authority, as well as finances and publicity, Wilson began to form and promote what became known as AA's "Twelve Traditions," which are guidelines for an altruistic, unaffiliated, non-coercive, and non-hierarchical structure that limited AA's purpose to only helping alcoholics on a non-professional level while shunning publicity. Eventually he gained formal adoption and inclusion of the Twelve Traditions in all future editions of the Big Book.[4] At the 1955 conference in St. Louis, Missouri, Wilson relinquished stewardship of AA to the General Service Conference,[24] as AA grew to millions of members internationally.[25]

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At Wyoming Recovery, a patient may begin treatment at residential or outpatient levels of care, depending on the assessment of multiple dimensions, such as: need for detoxification, presence of complicating physical or emotional symptoms and level of support in home/work environments. Typically, a patient will transition from one level to another depending on progress, there is not a fixed length of stay. We offer the following levels of care:
Alcoholics Anonymous became so well-known that Wilson and other early members of the group were invited to a dinner hosted by John D. Rockefeller, Jr., the patriarch of one of the most powerful families in American history. Despite Wilson’s requests, Rockefeller refused to finance AA, believing that the money would only corrupt the noble ambitions of the group. Instead, Rockefeller felt that the organization’s own characteristics – the personal testimonies, the word-of-mouth, and the anonymity – were key to its success and longevity.

When you opt for the increased success rates common to some of the top residential recovery centers, you give yourself or your loved one the best chance of achieving and maintaining sobriety. However, you'll still need to consider whether to seek addiction treatment locally or take it out-of-state, putting distance between you and any abuse triggers. If you know someone who has gone through an alcoholic recovery program or has received drug treatment, ask them their opinion on the program they attended! For everyone else, calling a toll-free recovery hotline - whether it’s ours or another reputable service's - is an excellent way to start. You can discuss your local drug and alcohol recovery program options and have any questions answered that you might have about substance abuse insurance coverage.


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According to the National Institute on Drug Abuse’s Principles of Drug Addiction Treatment: A Research-Based Guide, short-term residential programs developed the idea of using a modified 12-Step approach to provide a shorter stay in treatment that included follow-up through a 12-Step fellowship. This is seen as a way to provide the important post-treatment structure that helps people maintain long-term recovery. Other programs have also incorporated the 12 Steps, both by encouraging clients to attend 12-Step fellowship meetings, and by incorporating 12-Step ideas into their practices.
The Steps start from a basic acceptance that we can control and change only ourselves and our own reactions to people and events. Twelve Step participants take ongoing inventory of themselves and honestly acknowledge the ways they have hurt themselves and others. When they are ready, they attempt to make amends to all persons they have harmed. Trust, acceptance, love, goodwill and forgiveness are key elements in a Twelve Step program just as they are important elements of any healthy relationship.
Parents may also inadvertently contribute to children’s alcohol problems, especially if they model bad drinking behaviors. Kids who grow up in homes with a great deal of drinking may come to see the behavior as normal. If their parents drink as a coping mechanism for stress or anxiety, kids may come to do the same. In this case, the genes aren’t at the root of the problem; it’s the behaviors parents model that causes concern.

Start there. Afterward, check into a facility regardless. If you are on the fence about doing so, then outpatient is for you. If you know you have a problem that needs curing, check into an inpatient facility. Both are facilities that focus on helping people who are currently abusing alcohol and/or drugs. Also, more intensive options exist, such as partial hospitalization.
An intervention can be held in the immediate aftermath of a terrible alcoholism consequence. Those openings are easy to find. For example, research published in Addiction suggests that people who drink before heading out on the town are 2.5 times more likely to get in a fight while out, compared to people who don’t drink. When people come home from a night of drinking with bruises and cuts, an intervention may be in order, and it may be well received.
Women tend to be more sensitive to the effects of alcohol and may develop alcohol-related health problems sooner and after consuming less alcohol than men do. Alcohol use in pregnant women can lead to miscarriage, stillbirth, premature birth, low birth weight, and other problems in the baby, such as abnormal facial features, malformation of organs (such as the brain and heart), growth deficits, and hearing and vision problems. Brain damage due to a mother's alcohol use may result in behavioral problems, speech and language delays, and learning disabilities, according to the March of Dimes.
Alcohol use disorder (which includes a level that's sometimes called alcoholism) is a pattern of alcohol use that involves problems controlling your drinking, being preoccupied with alcohol, continuing to use alcohol even when it causes problems, having to drink more to get the same effect, or having withdrawal symptoms when you rapidly decrease or stop drinking.
Many newcomers who attend 12-step meetings find personal validation in the stories of other addicts. Substance abusers who have been isolated by their disease have the opportunity to relieve their pain by sharing their experiences with others. Alcoholics who have lost their jobs, families, and dignity can recover their self-respect and restore broken relationships with the help of the fellowship and the 12 steps.

Alcohol Use Disorder is a pattern of disordered drinking that can involve interference in daily tasks, withdrawal symptoms, discord in relationships, and risky decisions that place oneself or others in harm's way. More than 15 million American adults struggle with this condition, according to the National Institute on Alcohol Abuse and Alcoholism. Like all addictions, alcohol use disorder is inextricably linked to a complex matrix of biological, social, and psychological factors. Research highlights a genetic component to the disease, as about half of one's predisposition to alcoholism can be attributed to his or her genetic makeup. As a psychological malady, people may turn to alcohol to cope with trauma or other co-occurring mental disorders. Socially, alcoholism may be tied to familial dysfunction or a culture embedded with binge drinking. The brain's reward pathways also play an essential role: Alcohol consumption is associated with increased dopamine activity, which corresponds with pleasure, craving, and habit formation.
Alcoholics Anonymous is free and open to anyone battling alcohol addiction who wishes to remain sober. Meetings take place all over the world in at least 181 countries, and there were more than 2 million members of AA at last count in 2015. Over the years, other organizations have been formed to support recovery for all types of substances, not just alcohol; groups include Cocaine Anonymous (CA), Narcotics Anonymous (NA), Marijuana Anonymous (MA), to name a few. These recovery support groups tend to follow the general 12-Step ideology as outlined by AA, which is highlighted below. Individuals are encouraged to work through the steps one by one, with the end result being to maintain sobriety, achieve a spiritual awakening through these steps, and then carry the message on to others battling addiction.
In the United States and Canada, AA meetings are held in hundreds of correctional facilities. The AA General Service Office has published a workbook with detailed recommendations for methods of approaching correctional-facility officials with the intent of developing an in-prison AA program.[79] In addition, AA publishes a variety of pamphlets specifically for the incarcerated alcoholic.[80] Additionally, the AA General Service Office provides a pamphlet with guidelines for members working with incarcerated alcoholics.[81]

As an addiction professional who has worked in the field for 21 years I would be negligent in my duties if I did not inform my clients about the availability of AA as a potential avenue for recovery. I also let them know of other options such as SMART, rational recovery, etc. They invariable return to me saying "all I can find around town is AA". I encourage them to use what is available if they choose to do so. I educate them about the program of AA, the fellowship (which is not the program) and what AA's official stance is on medications (there is none other than it's between the alcoholic and their doctor). I educate and encourage them on all of these things so they are not at the mercy of any uninformed alcoholic in AA.
Diagnosis is aided by administering specific psychological assessments that help to indicate what aspects of a person's life may be affected by alcohol use. Determining the exact quantity of alcohol that a person drinks is less important than determining how drinking affects relationships, jobs, educational goals, and family life. Because the metabolism (how the body breaks down and processes) of alcohol varies among individuals, the quantity of alcohol consumed is not part of the criteria list for diagnosing either alcohol dependence or alcohol abuse.
Our Mission: To provide evidenced-based, compassionate care in a professional and collaborative manner which creates an atmosphere of hope that not only promotes recovery from alcohol or drug addiction, but provides a space where patients can discover their highest human potential and be inspired to make recovery-oriented changes medically, socially, emotionally and/or spiritually.
While Wilson and Smith credited their sobriety to working with alcoholics under the auspices of the Oxford Group, a Group associate pastor sermonized against Wilson and his alcoholic Groupers for forming a "secret, ashamed sub-group" engaged in "divergent works".[19] By 1937, Wilson separated from the Oxford Group. AA Historian Ernest Kurtz described the split:[19]
Asking Question About The 12 Steps: This introduces the steps to patients and allows them to voice any questions and concerns. For instance, The 12 Steps encourage reliance on a spiritual experience – by establishing a relationship with a Power greater than ourselves. But many groups give individuals the freedom to choose their own version of a “Higher Power.” This choice often helps patients let go of any religious resentments or pre-conceived prejudices toward spiritual practices.

Just as there is no one test for screening or diagnosing alcoholism, there is not one single therapy or medication that definitively treats alcoholism in all those affected. Like many chronic diseases, alcohol dependence is not an easy condition to resolve, and many people will relapse into drinking several times before gaining lasting sobriety. Some of the damage done to the liver and to other organs while drinking may resolve, while some may be permanent. Patients and their doctors will need to work together over the years to maintain sobriety and to address any complications that arise from alcohol damage.
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The story behind the steps starts in Switzerland, specifically with Carl Jung, the famous psychiatrist and psychologist who is considered the father of analytical psychology. Renowned as he is for his pioneering work in the understanding of the psyche and the self, Jung was also a pantheist; his study of world religions and mythologies was instrumental in his belief that spiritual health was vital to an individual’s wellbeing. This came into play when Jung was confronted with an alcoholic patient, Rowland Hazard III, whose problem was so severe that contemporary methods of treatment proved ineffective. Jung counseled the patient that the last remaining measure to overcome the demon of addiction was to experience a spiritual rebirth.
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