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Each person will have their own idea of who or what the higher power is to them, and in Step 3, individuals are asked to turn their lives over to this power for healing purposes. Steps 1 and 2 are all about reflection, learning that alcohol (or drugs) is a driving force in life and that a higher power is needed to recover and remain sober. With Step 3, individuals are called to action and to a willingness to change moving forward.
Most experts believe that a research-based, residential treatment program that is customized to an individual’s needs is the most effective method to achieve and maintain recovery. Whether this program includes 12-Step aspects, is based on the 12-Step concept, or is an alternative to this original model of addiction treatment, it’s important that care is customized to the individual. Working with an addiction treatment professional is a good way to find the treatment modality that is appropriate for each person, leading to the best path to recovery.

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Based on combined data from SAMHSA's 2004–2005 National Surveys on Drug Use & Health, the rate of past-year alcohol dependence or abuse among persons aged 12 or older varied by level of alcohol use: 44.7% of past month heavy drinkers, 18.5% binge drinkers, 3.8% past month non-binge drinkers, and 1.3% of those who did not drink alcohol in the past month met the criteria for alcohol dependence or abuse in the past year. Males had higher rates than females for all measures of drinking in the past month: any alcohol use (57.5% vs. 45%), binge drinking (30.8% vs. 15.1%), and heavy alcohol use (10.5% vs. 3.3%), and males were twice as likely as females to have met the criteria for alcohol dependence or abuse in the past year (10.5% vs. 5.1%).[83]
A genome-wide association study of more than 100,000 human individuals identified variants of the gene KLB, which encodes the transmembrane protein β-Klotho, as highly associated with alcohol consumption. The protein β-Klotho is an essential element in cell surface receptors for hormones involved in modulation of appetites for simple sugars and alcohol.[90]
Research from NIAAA also suggests that alcoholism can stem from genes. While the specific “alcoholism gene” hasn’t yet been identified, there are known genes that can boost the power of alcohol and reduce the impact of a hangover. People with these gene combinations may get a bigger high from drinking, and they may not feel ill or sick after a long day of drinking. Their bodies just seem primed for alcohol abuse, and that can make them more likely to develop alcoholism.
Alcohol dependence is also known as alcoholism; however, health professionals tend not to use this term because of its potential to increase stigma and discrimination of the condition. Alcohol dependency is the most common substance use disorder in Australia. Individuals who are alcohol dependent tend to prioritise drinking alcohol over other activities (including seeing friends and going to work). However, alcohol dependency is not an all or nothing condition. It occurs on a continuum ranging from mild to severe. Individuals with a mild dependence on alcohol may crave an alcoholic drink when it is not available and find it difficult to stop drinking after a couple of drinks. Individuals with severe alcohol dependence suffer physical and/or psychological withdrawal symptoms (e.g. vomiting, anxiety) when they do not consume alcohol.
It’s not always easy to see when your alcohol intake has crossed the line from moderate or social drinking to problem drinking. But if you consume alcohol to cope with difficulties or to avoid feeling bad, you’re in potentially dangerous territory. Drinking problems can sneak up on you, so it’s important to be aware of the warning signs of alcohol abuse and alcoholism and take steps to cut back if you recognize them. Understanding the problem is the first step to overcoming it and either cutting back to healthy levels or quitting altogether.

AA has remained mostly unchanged since it was founded. Obviously, the world is not the same as it was in 1935, as well as addiction, how we see it, and how we treat it. While newer sober support programs like SMART Recovery make it a point to keep up with the latest in the science of recovery treatment, AA and its 12 Steps have relied on the same “one-size-fits-all” techniques for almost 80 years, techniques that may no longer be as effective in today’s world.

Auxiliary groups such as Al-Anon and Nar-Anon, for friends and family members of alcoholics and addicts, respectively, are part of a response to treating addiction as a disease that is enabled by family systems.[4] Adult Children of Alcoholics (ACA or ACOA) addresses the effects of growing up in an alcoholic or otherwise dysfunctional family. Co-Dependents Anonymous (CoDA) addresses compulsions related to relationships, referred to as codependency.
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