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."
Why do drug abusers live in denial?
"Denial is a common characteristic of many people struggling with substance abuse. It involves refusing to accept the reality of their addiction and its damaging consequences. There are several reasons why this denial occurs:
Fear: Admitting a problem means confronting the reality of addiction, including the perceived pain of withdrawal, the work of recovery, and potential stigma. Fear of these challenges can drive a person to deny their problem.
Guilt and Shame: Addiction often brings feelings of guilt and shame. Denial serves as a defense mechanism to avoid these difficult emotions.
Cognitive Impairment: Substance abuse can physically alter brain function, impairing judgment, memory, and self-awareness, making it harder for individuals to recognize or admit they have a problem.
Perception of Normality: If substance use is a daily occurrence, it can seem normal to the person doing it. They may think everyone else is doing the same or that their usage is acceptable or controlled.
Rationalization and Minimization: Individuals with substance use disorders often rationalize their behavior ("I only use on weekends") or minimize the consequences ("I still have my job, so it's not a problem").
Avoidance of Responsibility: Acknowledging the addiction implies a responsibility to change. Denial helps avoid this responsibility.
Can I successfully get treatment for my addiction to alcohol on an outpatient basis?
"Yes, it is possible to successfully receive treatment for alcohol addiction on an outpatient basis. Outpatient treatment programs can be an effective and flexible option for individuals who cannot commit to inpatient or residential programs due to work, family, or other responsibilities. However, the success of outpatient treatment largely depends on the individual's motivation, support system, and the severity of their addiction. While outpatient treatment can be successful for many individuals, it may not be suitable for everyone. Those with severe alcohol addiction, a history of relapse, or co-occurring mental health disorders may require more intensive inpatient or residential treatment to ensure their safety and promote lasting recovery.
Ultimately, the success of outpatient treatment for alcohol addiction depends on the individual's commitment, the support of their family and friends, and the quality of the treatment program. It is essential to choose a reputable and evidence-based outpatient program and to be fully engaged in the recovery process for the best possible outcome."