To share their method, Wilson and other members wrote the initially-titled book, Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism, from which AA drew its name. Informally known as "The Big Book" (with its first 164 pages virtually unchanged since the 1939 edition), it suggests a twelve-step program in which members admit that they are powerless over alcohol and need help from a "higher power". They seek guidance and strength through prayer and meditation from God or a Higher Power of their own understanding; take a moral inventory with care to include resentments; list and become ready to remove character defects; list and make amends to those harmed; continue to take a moral inventory, pray, meditate, and try to help other alcoholics recover. The second half of the book, "Personal Stories" (subject to additions, removal and retitling in subsequent editions), is made of AA members' redemptive autobiographical sketches. 
Michael, while one of the above posters felt that the anti-medication bias of many AA members (as well as its entire leadership) is receding, I have not seen that at all. Patients on methadone, buprenorphine and even (very recently) Vivitrol, are told that they are not "clean," cannot speak at the meeting, cannot receive sobriety tokens, cannot join in on committments and in fact are still using. They are urged routinely to stop their medications. While it has perhaps receded with some psychiatric medications, it has NOT with many other medications, including Disulfiram, Campral and Naltrexone.
Jump up ^ Alcoholics Anonymous (2001-06-01). "Chapter 2: There Is a Solution". Alcoholics Anonymous (PDF) (4th ed.). Alcoholics Anonymous World Services. p. 21. ISBN 1893007162. OCLC 32014950. These observations would be academic and pointless if [he] never took the first drink, thereby setting the terrible cycle in motion. Therefore, the main problem...centers in his mind....The fact is that most alcoholics...have lost the power of choice in drink...unable, at certain times, to bring into [his] consciousness with sufficient force the memory of the suffering and humiliation of a month or even a week ago. [He] is without defense against the first drink.
...more and more, Bill discovered that new adherents could get sober by believing in each other and in the strength of this group. Men [no women were members yet] who had proven over and over again, by extremely painful experience, that they could not get sober on their own had somehow become more powerful when two or three of them worked on their common problem. This, then—whatever it was that occurred among them—was what they could accept as a power greater than themselves. They did not need the Oxford Group.
Thank you. Twelve Steps and AA culture is a great bridge to extended self help. It works great when most of those working together come from diverse backgrounds. In my humble opinion, it gets difficult when the professional treatment world extends so deep into self help that they begin to set the standards for CBT in terms of acceptable attitudes. I am disheartened by the almost organized labor or mob influence on the traditional meetings.
Al-Anon and Alateen. Al-Anon is an organization comprised of support groups targeted towards friends and family of individuals suffering from alcoholism. In these groups, family members and friends are able to share their personal experiences, discuss difficulties and find effective ways to deal with problems—regardless of whether the alcohol abusing individual in their lives have completed an addiction recovery program. Alateen is a fellowship that is specifically targeted towards younger Al-Anon members, particularly teenagers.
I agree with many of the earlier comments highlighting the drawbacks of 12-Step for many folks seeking recovery. Although the program claims to be "spiritual" and "not religious," it's roots are in the Oxford Group, an early evangelical Protestant organization, and the 12 Steps (12, because there were 12 apostles) are taken directly from Oxford Group, which maintained that people were "powerless over sin." Bill W. simply replaced "sin" with "alcohol" and kept the rest unchanged.
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Another important point about 12 Step programs is their cost and accessibility. What other chronic lifelong disease has an equally accessible and cost effective (free) intervention? Like any disease, part of our job as physicians is to recommend effective treatment which our patients can both access and afford. I'd like for my patients to be able to access and afford all useful modalities of addiction treatment, but here at least is one they can all use.
"We will comprehend the word serenity and we will know peace." (Alcoholics Anonymous, p. 84) Just For Today Life takes on new meaning in A.A. To watch people recover, to see them help others, to watch loneliness vanish, to see a fellowship grow up about you, to have a host of friends - this is an experience not to be missed. (from the 12&12 and Alcoholics Anonymous)
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.
ASAM’s definition of addiction document concludes that “treatment of addition saves lives,” and it points out that “in some cases of addiction, medication management can improve treatment outcomes,” and that “in most cases of addiction, the integration of psychosocial rehabilitation and ongoing care with evidence-based pharmacological therapy provides the best results.” Much of “what’s new” in the professional treatment of addiction in the past two decades has involved new pharmacological therapies that have been brought into the marketplace. But psychosocial interventions, which are “not as new,” are the foundation of the treatment most persons receive when they seek assistance from an addiction treatment professional or agency.
PaRC's team of physicians and specialists evaluate, treat, educate and guide the chronic pain sufferer through the process of pain and addiction recovery. Two primary goals of PaRC's Pain Recovery Program are pain relief to the highest degree possible and stopping or reversing the negative impact and downward course of a patient's pain condition, lifestyle, work, interpersonal relationships and overall wellbeing.
But Twelve-Step Facilitation therapy is still a tried-and-true proven approach. It is far more than advising a patient to “go to AA” and providing them a list of meeting locations and times. In Twelve-Step Faciliation, the therapist actively probes and nudges, encouraging not only attendance, but participation, in meetings; it explains the potential benefits of working with a sponsor and promotes the individual developing a relationship with a sponsor; it explores problems or psychological resistances to attendance, participation, actual “working the steps,” and the development of a sponsor-sponsee relationship; and it opens the door to “AA-related activities” such as volunteer service to one’s AA “home group” or AA “clubhouse” and involvement with AA-related social events, retreats, and local and state conventions.
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.
With a U.S. economy inching laboriously back from recession with a flagging job market in tow, we should be sensitive to hidden costs of this “lifestyle choice.” In a perfect world, we would weigh the right to drink excessively against the $94.2 billion in tax dollars that we spend every year to pay the costs of alcoholism. We should weigh the collective choice against the 1.9 million public school teachers we could hire with that $94.2 billion — or the million public parks that money could build for communities across the country, or the million students we could put through school. And we’d think hard about what cultural shift could moderate this “lifestyle choice” before it becomes disease.
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In most parts of the world, alcohol is legal for adults to both purchase and consume. As a result, beverages that contain alcohol are available almost everywhere, and clearly, many adults partake. Since use is so common, it might seem hard to determine who is drinking alcohol in an appropriate manner and who is drinking in a manner that could lead to alcohol abuse or alcoholism. Experts suggest there are key signs to look for.
Binge drinking statistics from the CDC estimate more than 38 million US adults binge drink an average of 4 times a month and the most drinks they consume on average is 8. The report found that binge drinking is more common among households with incomes ≥$75,000, but the largest number of drinks consumed per occasion is highest among households with incomes of < $25,000.  According to the 2015 National Survey on Drug Use and Health (NSDUH), 26.9% of people ages 18 or older reported that they engaged in binge drinking in the past month; 7% reported that they engaged in heavy alcohol use in the past month. 
Hey, it's been a while since I check this roundup post again. Sadly, a few programs in this list are no longer free. Some got acquired, some don't work anymore due to lack of updates. For the accuracy of this post, I have to remove some programs from this list. Previously there were 20 truly free data recovery programs got featured, now much fewer.
Serious social problems arise from alcoholism; these dilemmas are caused by the pathological changes in the brain and the intoxicating effects of alcohol. Alcohol abuse is associated with an increased risk of committing criminal offences, including child abuse, domestic violence, rape, burglary and assault. Alcoholism is associated with loss of employment, which can lead to financial problems. Drinking at inappropriate times and behavior caused by reduced judgment can lead to legal consequences, such as criminal charges for drunk driving or public disorder, or civil penalties for tortious behavior, and may lead to a criminal sentence. An alcoholic's behavior and mental impairment while drunk can profoundly affect those surrounding him and lead to isolation from family and friends. This isolation can lead to marital conflict and divorce, or contribute to domestic violence. Alcoholism can also lead to child neglect, with subsequent lasting damage to the emotional development of the alcoholic's children. For this reason, children of alcoholic parents can develop a number of emotional problems. For example, they can become afraid of their parents, because of their unstable mood behaviors. In addition, they can develop considerable amount of shame over their inadequacy to liberate their parents from alcoholism. As a result of this failure, they develop wretched self-images, which can lead to depression.
People have been brewing and fermenting alcoholic drinks since the dawn of civilization. Consumed in moderate amounts, alcoholic beverages are relaxing and in some cases may even have beneficial effects on heart health. Consumed in excess, alcohol is poisonous and is considered a drug. It is estimated that between 18 million -- or one in 12 adults -- in the U.S. abuse alcohol or are chronic alcoholics. Nearly 100,000 Americans die each year as a result of alcohol abuse, and alcohol is a factor in more than half of the country's homicides, suicides, and traffic accidents. Alcohol abuse also plays a role in many social and domestic problems, from job absenteeism and crimes against property to spousal and child abuse.
Unhealthy alcohol use includes any alcohol use that puts your health or safety at risk or causes other alcohol-related problems. It also includes binge drinking — a pattern of drinking where a male consumes five or more drinks within two hours or a female downs at least four drinks within two hours. Binge drinking causes significant health and safety risks.
This is the rarest group, accounting for 9% of American alcoholics, and the most severe. Most people in this subtype are usually men, and are associated with a high rate of divorce, financial problems, clinical depression, and the use of other drugs. These are people whose lives have been all but completely taken over by booze. Alcoholism truly is a sad disease.
A member who accepts a service position or an organizing role is a "trusted servant" with terms rotating and limited, typically lasting three months to two years and determined by group vote and the nature of the position. Each group is a self-governing entity with AA World Services acting only in an advisory capacity. AA is served entirely by alcoholics, except for seven "nonalcoholic friends of the fellowship" of the 21-member AA Board of Trustees.
We offer flexible programming and a curriculum focused on fully integrated behavioral and mental health that also treats substance use. Through our program, your child will develop new coping skills and learn to address triggers and stressors as they continue their normal routine at home and school. Every aspect of your child’s treatment is designed to meet their specific needs and all substance abuse treatment is individualized to meet the needs of each patient.
Step 6 is about letting go of negativity and the past, and moving forward with the help of the higher power. Individuals pray, asking their higher power to remove their moral failings. People may go back to their lists of wrongdoings during Step 6 or choose to write a whole new list of specific character flaws. Individuals then choose something positive to replace these defects with. For example, lying and secrecy can be replaced with transparency and honesty. During Step 6, it may be helpful to write down several positive affirmations next to personal character issues, thus providing new and healthy methods for living in recovery.
SMART Recovery: As previously mentioned, Self-Management and Recovery Training (SMART Recovery), is based on scientific research and is always evolving to match the latest knowledge in the field of addiction treatment. Like the 12 Steps, SMART Recovery is broken down into multiple stages, but focused on motivation, creating an overall positive atmosphere, and changing not just behaviors but also the emotions and thoughts behind them.
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. In addition, AA publishes a variety of pamphlets specifically for the incarcerated alcoholic. Additionally, the AA General Service Office provides a pamphlet with guidelines for members working with incarcerated alcoholics.
I am appalled that a book written by two extremely disturbed privileged white males who lived in 1930s Jim Crow era America is still the "treatment " standard for addiction. AA has been ruled a religious organization by several federal circuit courts, and it is impossible to work the program without a belief in a God who magically answers prayers for the addict who prays hard enough. It is not possible to turn one's will and life over to the care of Nature, or a Doorknob, or the Group of Drunks. One is guided through the steps by someone who is only qualified by the amount of sober time they claim to have. 12 step groups are especially dangerous for survivors of rape, abuse, and other trauma when they are tasked to examine "their part" in the crimes committed against them, not to mention having to defend themselves against the unethical yet joked about 13th Step.
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Alcoholism, also known as alcohol use disorder (AUD), is a broad term for any drinking of alcohol that results in mental or physical health problems. The disorder was previously divided into two types: alcohol abuse and alcohol dependence. In a medical context, alcoholism is said to exist when two or more of the following conditions are present: a person drinks large amounts over a long time period, has difficulty cutting down, acquiring and drinking alcohol takes up a great deal of time, alcohol is strongly desired, usage results in not fulfilling responsibilities, usage results in social problems, usage results in health problems, usage results in risky situations, withdrawal occurs when stopping, and alcohol tolerance has occurred with use. Risky situations include drinking and driving or having unsafe sex, among other things. Alcohol use can affect all parts of the body, but it particularly affects the brain, heart, liver, pancreas and immune system. This can result in mental illness, Wernicke–Korsakoff syndrome, irregular heartbeat, liver cirrhosis and increased cancer risk, among other diseases. Drinking during pregnancy can cause damage to the baby resulting in fetal alcohol spectrum disorders. Women are generally more sensitive than men to the harmful physical and mental effects of alcohol.
Moderate alcohol consumption (1–2 drinks/d) reduces the risk of cardiovascular disease in men and women by approximately 30%. [13, 14, 15] The effect of heavy alcohol consumption on the risk of cardiovascular disease varies in different studies. The person's drinking pattern appears to have an effect on cardiovascular disease. Drinking with meals may reduce the risk, while binge drinking increases risk (even in otherwise moderate drinkers).
Some people don’t like or are not interested in the 12-Step model, even with the variations above or through organizations that facilitate the 12-Step model. Some people don’t like basing their recovery on the idea that they cannot control their addiction, when there is evidence that there are ways of practicing internal control over the recovery process.
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Prevention must begin at a young age since the first instance of intoxication usually occurs during the teenage years. It is particularly important that teenagers who are at high risk for alcoholism-those with a family history of alcoholism, early or frequent use of alcohol, a tendency to drink to drunkenness, alcohol use that interferes with school work, a poor family environment, or a history of domestic violence -receive education about alcohol and its long-term effects. How this is best achieved, without alienating these young people and thus losing their attention, is the subject of continuing debate and study.
Alcohol use is the fourth leading cause of preventable death in the United States (after smoking, high blood pressure, and obesity). According to a 2018 report from the WHO, in 2016 the harmful use of alcohol resulted in about 3 million deaths, or 5.3% of all deaths around the world, with most of these occurring among men. [1, 2] The economic costs of excessive alcohol consumption in 2010 were estimated at $249 billion, or $2.05 a drink. 
The World Health Organization estimates that as of 2010 there are 208 million people with alcoholism worldwide (4.1% of the population over 15 years of age). Substance use disorders are a major public health problem facing many countries. "The most common substance of abuse/dependence in patients presenting for treatment is alcohol." In the United Kingdom, the number of 'dependent drinkers' was calculated as over 2.8 million in 2001. About 12% of American adults have had an alcohol dependence problem at some time in their life. In the United States and Western Europe, 10 to 20 percent of men and 5 to 10 percent of women at some point in their lives will meet criteria for alcoholism. Estonia had the highest death rate from alcohol in Europe in 2015 at 8.8 per 100,000 population. In the United States, 30% of people admitted to hospital have a problem related to alcohol.
Easy access: There appears to be a correlation between easy access to alcohol — such as cheap prices — and alcohol abuse and alcohol-related deaths. One study registered a significant drop in alcohol-related deaths after one state raised alcohol taxes. The effect was found to be nearly two to four times that of other prevention strategies, such as school programs or media campaigns.
The program’s emphasis on negative feelings of powerlessness and guilt. Continuing in that train of thought, while the idea behind the 12 Steps may have been revolutionary at the time, for many they can feel outdated and even counterproductive. The 12-Step program demands that those in it break themselves down to be built back up, focusing on the notion that you are incapable of taking responsibility not just for your alcoholism but for yourself as well, that there is something wrong with you, and instilling what can feel more like shame than motivation.
In addition, every federal court in the land that has examined the issue has held that 12-Step programs -- despite their claims to the contrary -- are sufficiently religious that coerced attendance (for example, when a court or probation officer orders mandatory attendance at AA meetings) violates the Establishment Clause of the First Amendment of the U.S. Constitution. This is explicitly the law in the 2nd, 7th, and 9th federal circuits, as well as the states of New York and Tennessee.
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Research and population surveys have shown that persons under stress , particularly chronic stress, tend to exhibit more unhealthy behaviors than less-stressed persons. Stressed people drink more alcohol, smoke more, and eat less nutritious foods than non-stressed individuals. Many people report drinking alcohol in response to various types of stress, and the amount of drinking in response to stress is related to the severity of the life stressors and the individuals' lack of social support networks.
Dr.Miller, if it were that simple, we wouldn't be discussing the issue at all. I have experienced both sides of the fence so to speak. I've been the guy in the back of the room who couldn't put 24 hours of sobriety together, life in shambles, family gone, and without the ability to function in society. On the other hand I have worked in the treatment field, worked the program in every aspect of my life, as well as sponsored countless people. The sponsorship is where I have the "BEGINNING" of difficulty, not that it's all bad. Especially when it comes to forth step. A person who has resentments should be made to see their part in their resentment. All to often though the addict is made to blame. A sponsee of mine was raped in jail and he had put it on his forth step. So he had sexual issues, self worth issues, ECT. I deferred to my sponsor on how to deal with such a resentment. He and his sponsor both told me to tell the kid, yea, it was bad, but you put yourself In jail, so it your fault. I've taken enough psychology to know you never under any circumstances tell a rape victim it's their fault that they were raped. I told him to defer to a mental health professional, and for a time he improved. Later after being forced back into AA by the legal system he was again told on a fourth step that it was his fault for being raped. But this crazy "tough love", "it's your fault" "now learn some humility and fix it", kind of thinking permeates AA to it's core. The kid did stay sober, his determination was so strong the police found him with both barrels of a shotgun in his mouth and the back of his head splattered against the wall. Next to him they found and unopened bottle of wiskey and a note saying "this is how bad I don't want to drink". You see, he had floundered in AA and so of course the finger was pointed at him for failure, by his family, by the program, and most people he knew. This is just one of countless horror stories. If you look at the founder. I realize that most believe AA was co founded by Dr. Robert Smith M.D. In reality, Dr. Bob was the first person to have tried the program and had any success. Everyone Bill Wilson tried his program on previously failed miserably. But looking at the heart of the origins of the program, and I dont mean the Oxford groups of whom Bill Wilson would derive his 12 steps from their 6 step program, I mean at the thinking of Bill Wilson himself. He says in his biography that he had a literal disease that left him virtually powerless over every vice and compulsion he indulged in. AND I don't say this to degrade In anyway the hardworking and caring people of AA. Heaven knows, the vast overwhelming majority of AA's have their hearts in the right place, but the whole thing is based on an excuse. The idea of having a disease took the heat off of Bill. The program slowly built up around that notion that there's a disease to blame. After 20 years of life experience, and a lot of academia, I believe the problem lies in unintentional conditioning. Really a learning disorder to put it in other terms. Susceptible individuals, usually because of one form of trauma or another seek out relief. By repeated chemical administration the brain slowly starts to think that chemical is necessary for survival. Probably because the instinctual systems become involved. When a compulsion is more powerful than a individuals desire for oxygen, and food ECT. Words are useless, consequences will have no effect. Mostly because a person can't directly access the sub conscience. But you can unlearn something. Email me for the real solution
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.