Recovery from alcoholism is a life-long process. The potential for relapse remains present and must be acknowledged and respected. Many individuals stop drinking and then relapse multiple times before attaining extended periods of sobriety. Statistics suggest that, among middle-class alcohol-dependent individuals in stable financial and family situations who have undergone treatment, 60% or more successfully stop drinking for at least one year.
"I discovered how good relationships get better and how unhealthy relationships get exposed when you work your program," said Cathy. "I've been friends with Hannah for years, but we had been partying friends. So when I entered recovery, we were really careful around each other. Then we began talking—really talking. Now our friendship is deeper and more honest. Recovery has been good for both of us."
The endpoint of “recovery” from addiction, if there is an endpoint, is to change one’s life for the better, to gain stability in one’s life, and to become more functional in one’s family and in one’s community. Being responsible, being reliable, being interested in others and not just in oneself, and being a loving being who cares about and is helpful to others, are all part of recovery.
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In some ways, the championing of anonymity has been AA’s blessing and curse. It not only protects the privacy of the people it seeks to help (and those who seek it for help), it also protects the organization at large from public relations and morale damage if a high-profile member were to relapse. In the more than 75 years since Alcoholics Anonymous formed, NPR notes that “no one knows how exactly it works.”
Most Twelve Step participants view addiction as a lifelong disease and see the Twelve Steps as their new design for living. When people whose lives have been affected by addiction work the Twelve Steps, they can better sort out the things which they have no control over, and the things for which they are responsible. Group meetings offer a safe place to share one's experience, strength and hope, and to receive support and fellowship.
Alcoholism and alcohol abuse can affect all aspects of your life. Long-term alcohol use can cause serious health complications, affecting virtually every organ in your body, including your brain. Problem drinking can also damage your emotional stability, finances, career, and your ability to build and sustain satisfying relationships. Alcoholism and alcohol abuse can also have an impact on your family, friends and the people you work with.
While some people with alcohol use disorder can cut back or stop drinking without help, most are only able to do so temporarily unless they get treatment. Individuals who consume alcohol in lower amounts and tend to cope with problems more directly are more likely to be successful in their efforts to cut back or stop drinking without the benefit of treatment.

The 12-step approach to rehabilitation treatment is embraced throughout the world, so it’s always easy to find support where you are or wherever you go. Accordingly, we advise patients to keep in contact with ‘sober supports’ they make during treatment at one of our locations. We also encourage them to continue attending 12-step groups on a regular basis after discharge. Being able to discuss mistakes or relapses, as needed, in a supportive environment helps to keep patients accountable for their actions.


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Alcoholics Anonymous (AA) was the first 12-step program established and many other support groups have branched off from AA using this model. AA is an organization that unites people who have struggled with alcohol dependency, providing strength and faith in one another to overcome addiction. Its mission is to “stay sober and help other alcoholics to achieve sobriety” without judgment or segregation. AA founders Bill Wilson and Dr. Bob Smith developed the 12 steps based on concepts from Carl Jung’s theories as influenced by Eastern philosophy, and from spiritual values such as those rooted in the principles of the Oxford Group.
This is sort of an obvious one, but helpful to recognize. The easier it is to acquire alcohol, the more likely you are to consume it. The same goes for anything desirable. Accessibility plays a very important role in underage drinking, though. If it’s kept out of the hands of minors, then they can’t drink it! This idea is applicable at all ages. Keep yourself out of situations that involve alcohol and you won’t become an alcoholic.

If someone you love has a drinking problem, you may be struggling with a number of painful emotions, including shame, fear, anger, and self-blame. The problem may be so overwhelming that it seems easier to ignore it and pretend that nothing is wrong. But in the long run denying it will be more damaging to you, other family members, and the person with the drinking problem.
Alcohol inhibits the receptor for glutamate. Long-term ingestion results in the synthesis of more glutamate receptors. When alcohol is withdrawn, the central nervous system experiences increased excitability. Persons who abuse alcohol over the long term are more prone to alcohol withdrawal syndrome than persons who have been drinking for only short periods. Brain excitability caused by long-term alcohol ingestion can lead to cell death and cerebellar degeneration, Wernicke-Korsakoff syndrome, tremors, alcoholic hallucinosis, delirium tremens, and withdrawal seizures. Opiate receptors are increased in the brains of recently abstinent alcoholic patients, and the number of receptors correlates with cravings for alcohol.
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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.
Please encourage Spanish-speaking women members in your area to write their personal stories for possible inclusion in this new pamphlet. Submissions can be emailed to Literature@aa.org with "Spanish-speaking women in A.A." in the subject line of the message. Alternatively, submissions can be mailed to: Literature Coordinator, General Service Office, Box 459, Grand Central Station, New York, NY 10163.
Support groups provide people with understanding peers and ongoing support, in church basements, community centers, and public facilities scattered all across the country. Here, people can come together to discuss addiction’s difficulties, and they can meet with other addicted people to gain support and insight. Alumni groups are similar, in that they link peers together to discuss addiction, but these groups contain people who all worked within the same facility for help.
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Other tests are sometimes used for the detection of alcohol dependence, such as the Alcohol Dependence Data Questionnaire, which is a more sensitive diagnostic test than the CAGE questionnaire. It helps distinguish a diagnosis of alcohol dependence from one of heavy alcohol use.[116] The Michigan Alcohol Screening Test (MAST) is a screening tool for alcoholism widely used by courts to determine the appropriate sentencing for people convicted of alcohol-related offenses,[117] driving under the influence being the most common. The Alcohol Use Disorders Identification Test (AUDIT), a screening questionnaire developed by the World Health Organization, is unique in that it has been validated in six countries and is used internationally. Like the CAGE questionnaire, it uses a simple set of questions – a high score earning a deeper investigation.[118] The Paddington Alcohol Test (PAT) was designed to screen for alcohol-related problems amongst those attending Accident and Emergency departments. It concords well with the AUDIT questionnaire but is administered in a fifth of the time.[119] Certain blood tests may also indicate possible alcoholism.[3]
Up to 30% of children are offered drugs before graduating high school, and for alcohol, it’s three out of every four kids who are offered. Peer pressure is a beast. Fitting-in is extremely important in high school, and unfortunately drinking alcohol is a common marker of ‘being cool.’ Peer pressure does not end after 12th grade, though. Oftentimes adults are pressured into drinking at social events when they don’t want to. Over time, this can be habit-forming.

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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.
Thank you dr Miller, very important part of recovery of addiction and important tool for our patients that should not be "a dying art". I have heard international lecturer and professional in addiction treatment, state that "Minnesota Model" is one treatment that has been shown ineffective (evidence based medicine... Many correlate that with Twelve step facilitation. Can you help with references to support or counteract that?
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I disagree. The underlying premise of "recovery" is not hope, but wellness. Becoming well. Staying well. By AA's own statistics, only 10.4% of participants continue with the program after the first year. What about the 89.6% that don't continue? According to AA, they failed. It's their fault. They weren't "working" the program. Or, they're "constitutionally incapable of being honest." If one defines normality as what the vast majority of people do in a given situation, then it is "normal" for people to fail in AA.

The illness of the spiritual dimension, or "spiritual malady," is considered in all twelve-step groups to be self-centeredness.[17][18] The process of working the steps is intended to replace self-centeredness with a growing moral consciousness and a willingness for self-sacrifice and unselfish constructive action.[18] In twelve-step groups, this is known as a spiritual awakening not a religious experience.[21] This should not be confused with abreaction, which produces dramatic, but ephemeral, changes.[22] In twelve-step fellowships, "spiritual awakening" is believed to develop, most frequently, slowly over a period of time.[23]

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