Commonly Asked Questions about Addiction and Treatment
What is the 12 step method for treating addiction?
"The 12-step method for treating addiction is a structured, peer-based approach that originated with Alcoholics Anonymous (AA) in the 1930s. Since then, it has been adapted for various other substance use disorders and behavioral addictions, including Narcotics Anonymous (NA), Gamblers Anonymous (GA), and Overeaters Anonymous (OA), among others. The method is based on a set of guiding principles, known as the 12 steps, that outline a path to recovery, personal growth, and spiritual development.
The 12 steps of the method are as follows:
- Admitting powerlessness over the addiction and recognizing that one's life has become unmanageable.
- Believing that a higher power (interpreted by each individual according to their beliefs) can restore sanity and provide support in recovery.
- Deciding to turn one's will and life over to the care of the higher power.
- Conducting a thorough and honest moral inventory of oneself.
- Admitting to oneself, the higher power, and another person the exact nature of one's wrongs and shortcomings.
- Being ready to have the higher power remove these defects of character.
- Humbly asking the higher power to remove one's shortcomings.
- Making a list of all the people harmed by one's addiction and being willing to make amends to them.
- Making direct amends to those harmed, whenever possible, except when doing so would cause harm to them or others.
- Continuing to take personal inventory and promptly admitting when one is wrong.
- Seeking to improve one's conscious contact with the higher power through prayer and meditation, asking for knowledge of the higher power's will and the strength to carry it out.
- Having experienced a spiritual awakening as a result of these steps, carrying the message to others struggling with addiction and practicing these principles in all aspects of life.
The 12-step method emphasizes the importance of peer support, mutual aid, and the sharing of personal experiences as a means of overcoming addiction. Participants typically attend regular meetings, where they share their stories, listen to others, and work through the steps at their own pace. Many 12-step programs also encourage members to find a sponsor, an experienced member who has worked through the steps and can provide guidance, support, and accountability during the recovery process."
What is the Cognitive Behavioral Method for treating addiction?
"The Cognitive Behavioral Method, or Cognitive Behavioral Therapy (CBT), is an evidence-based psychological approach for treating addiction that focuses on identifying and modifying dysfunctional thought patterns, beliefs, and behaviors that contribute to substance use disorders. CBT is grounded in the understanding that an individual's thoughts, feelings, and behaviors are interconnected, and by changing maladaptive thought patterns and behaviors, they can better manage their emotions and reduce their reliance on addictive substances.
CBT for addiction treatment typically involves the following key components:
- Identifying triggers: The first step in CBT is to help individuals recognize the situations, thoughts, or emotions that trigger their substance use. This awareness enables them to develop strategies to manage these triggers effectively and avoid relapse.
- Challenging negative thoughts: CBT helps individuals recognize and challenge irrational or negative thoughts and beliefs that contribute to their addiction. By examining the evidence for and against these thoughts and replacing them with more balanced, rational alternatives, individuals can better control their emotions and behaviors.
- Developing healthy coping strategies: CBT focuses on teaching individuals new, adaptive coping skills to deal with stress, cravings, or negative emotions without resorting to substance use. These strategies may include relaxation techniques, problem-solving skills, assertiveness training, or time management, among others.
- Building self-efficacy: CBT helps individuals build confidence in their ability to cope with high-risk situations and resist the urge to use substances. This increased self-efficacy can contribute to long-term recovery and reduce the likelihood of relapse.
- Relapse prevention: CBT incorporates relapse prevention techniques to help individuals identify early warning signs of relapse and develop a plan to address these signs effectively. This may involve practicing coping strategies, seeking support from others, or making adjustments to their environment or daily routine.
CBT for addiction treatment can be delivered in individual, group, or family therapy settings and is often used in conjunction with other treatment modalities, such as medication-assisted treatment (MAT), peer support groups, or motivational interviewing. CBT has been found to be effective in treating various substance use disorders, including alcohol, opioid, and stimulant addiction, as well as co-occurring mental health disorders, such as anxiety and depression."
How to help an addict without enabling them?
Helping an individual struggling with addiction without enabling them requires a fine balance. Here are some strategies that might be helpful:
- Understand the Difference between Helping and Enabling: Helping involves actions that promote recovery and responsibility, while enabling involves actions that indirectly support or condone the addictive behavior. For example, providing money without accountability might support the purchase of substances, which would be enabling. Instead, directly paying for a necessity like rent or an utility bill could be a more supportive choice.
- Set Boundaries: Establish clear rules and expectations for behavior. These could involve no drug use at home, or consequences for missed commitments. Consistency is important when enforcing these boundaries.
- Encourage Treatment: Continually encourage your loved one to seek professional help for their addiction. You could assist by researching treatment options or helping to arrange appointments, but the decision to follow through must ultimately be theirs.
- Offer Emotional Support: Provide reassurance, empathy, and love. This kind of support fosters a sense of self-worth, which can be a motivating factor for seeking treatment.
- Avoid Covering Up for Their Addiction: Do not lie or make excuses for their behavior. This can perpetuate the cycle of denial and avoid the necessary realization of the harmful effects of their addiction.
- Practice Self-Care: Caring for someone with an addiction can be emotionally draining. Be sure to take care of your own health and wellbeing, seeking outside support if needed.
- Educate Yourself: Learning about the nature of addiction can help you respond more effectively. Consider attending support group meetings for friends and family members of people with addiction, such as Al-Anon or Nar-Anon.
- Support Recovery, Not Addiction: Be mindful of any actions that may unintentionally support the addiction rather than the person. This could involve refusing to provide money that could be used on substances, while instead offering help in forms that directly support recovery, like providing transportation to therapy sessions.