Since its origin with AA, the 12-Step model has been adopted and altered by many groups to fit other programs – for addiction treatment and otherwise. Many groups, like Narcotics Anonymous, use the steps exactly as they were conceived by AA. Others have modified the steps to fit their own needs and cultures. For example, a Native American group has combined the 12 Steps with the Native American concept of the Medicine Wheel to create a program designed specifically to help indigenous Americans who struggle with alcoholism and addiction, the Medicine Wheel and 12 Steps program. Others have come up with similar ideas to integrate the basic ideas of the 12 Steps into a cultural framework that makes sense for members of that culture.

For every addiction, there are recovery programs and support groups to help those looking to kick their habits. Generally speaking, these programs can be grouped into one of two big buckets: those following a 12-step approach, and those that do not. Which you choose will be a matter of personal preference and – to some – whether you believe in a higher power, which 12-step programs typically promote. Either way, these resources can help you stay happy, healthy and social after your course of recovery from drug addiction or alcoholism treatment.

Around a third of individuals with alcohol dependence resolve their alcohol consumption problems without professional intervention. Others need the support of a health professional who can recommend a range of treatments. While there are many effective treatments, people who overcome alcohol dependence often relapse (i.e. develop alcohol dependency once again).


During 2018, Celebrate your "Sobriety Birthday" by contributing a $ amount to Central Office equal to the number of years of sobriety you're celebrating. Click Here for the latest listing of the Buck-a-year program participants. On your AA Birthday, make your contribution at Central Office by cash, check, or credit card, or by check in the mail. (Note: include with your contribution your 1st name, last initial, home group & sobriety date.) Or you can contribute online using PAYPAL or a credit or debit card - enter your 1st name, last initial, home group & sobriety date in the boxes below, then click Pay Now, enter the amount, and choose your method of payment
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Although all forms of problem drinking are getting worse in the US, not everyone who drinks too much meets the criteria for AUD. The CDC found, in 2014, that 90 percent of those who drink too much alcohol, even frequently, are not physically dependent on the substance to feel normal. Although one in three adults drink to excess, meeting the criteria for heavy or binge drinking, nine out of 10 do not meet the criteria for AUD from the DSM-5.

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Signs of a drinking problem include behaviors like drinking for the purpose of getting drunk, drinking alone or keeping it secret, drinking to escape problems, hiding alcohol in odd places, getting irritated when you are unable to obtain alcohol to drink, and having problems at work, school, home, or legally as a result of your drinking. Other warning signs of alcohol use disorder include losing interest in activities you used to enjoy, having blackouts because of heavy drinking, and getting annoyed when loved ones say you may have a drinking problem. Behaviors that may indicate that a person is suffering from alcoholism include being able to drink more and more alcohol, trouble stopping once you start drinking, powerful urges to drink, and having withdrawal symptoms like nervousness, nausea, shaking, or having cold sweats, and even hallucinations when you don't have a drink.
As an addiction professional who has worked in the field for 21 years I would be negligent in my duties if I did not inform my clients about the availability of AA as a potential avenue for recovery. I also let them know of other options such as SMART, rational recovery, etc. They invariable return to me saying "all I can find around town is AA". I encourage them to use what is available if they choose to do so. I educate them about the program of AA, the fellowship (which is not the program) and what AA's official stance is on medications (there is none other than it's between the alcoholic and their doctor). I educate and encourage them on all of these things so they are not at the mercy of any uninformed alcoholic in AA.
While 12-Step facilitation programs don’t necessarily follow the steps, they promote the use of a 12-Step methodology, in the hope that clients will move to a 12-Step program after rehab to help maintain sobriety. In addition, certain treatment centers base their model for service around some of the ideas promoted through the 12-Step program. These centers can offer research-based services and promote a more scientific understanding of addiction treatment, but they incorporate some of the spiritual, psychological, and practical practices that the 12-Step program promotes. This results in an encompassing model of care designed to support clients through rehab and to give tools that they can use after treatment to maintain their recovery for the long-term.
There are few medications that are considered effective in treating moderate to severe alcohol use disorder. Naltrexone (Trexan, Revia, or Vivitrol) has been found effective in managing this illness. It is the most frequently used medication in treating alcohol use disorder . It decreases the alcoholic's cravings for alcohol by blocking the body's euphoric ("high") response to it. Naltrexone is either taken by mouth on a daily basis or through monthly injections. Disulfiram (Antabuse) is prescribed for about 9% of alcoholics. It decreases the alcoholic's craving for the substance by producing a negative reaction to drinking. Acamprosate (Campral) works by decreasing cravings for alcohol in those who have stopped drinking. Ondansetron (Zofran) has been found to be effective in treating alcohol use disorder in people whose problem drinking began before they were 25 years old. None of these medications have been specifically approved to treat alcoholism in people less than 18 years of age. Baclofen (Lioresal) has been found to be a potentially effective treatment to decrease alcohol cravings and withdrawal symptoms. Some research indicates that psychiatric medications like lithium (Eskalith, Lithobid) and sertraline (Zoloft) may be useful in decreasing alcohol use in people who have another mental health disorder in addition to alcohol use disorder.
Serious social problems arise from alcoholism; these dilemmas are caused by the pathological changes in the brain and the intoxicating effects of alcohol.[40][55] Alcohol abuse is associated with an increased risk of committing criminal offences, including child abuse, domestic violence, rape, burglary and assault.[56] Alcoholism is associated with loss of employment,[57] 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[58] 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.[59] 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.[60]

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Alcohol dependency occurs on a continuum. Many Australians are only moderately or mildly dependent on alcohol (e.g. they may find it difficult to stop drinking once they start). They do not exhibit physical withdrawals like those with severe alcohol dependence, and do not consider their drinking patterns problematic. This may be because the major health and social consequences of alcohol dependence (with the exclusion of violence) do not begin when an individual first becomes alcohol dependent. For example, it may take years for an individual who is alcohol dependent to have financial or relationship problems as a result of drinking. In many cases chronic excessive drinking may have no immediate health and social consequences.
Alcohol misuse and dependence are primarily diagnosed through the use of clinical screening surveys. Several hundred such surveys exist, and they vary in the number and nature of questions they ask. Some of the more common scientifically-validated questionnaires include the Michigan Alcohol Screening Test (MAST), a shorter version called the Brief MAST, the Alcohol Use Disorders Identification Test (AUDIT), and a commonly employed, quick survey called the CAGE questionnaire. These surveys ask a range of questions about frequency of drinking, problems that result, and ability to stop.
Despite the criticisms and controversies, Alcoholics Anonymous remains a cultural force for treatment, rehabilitation, personal growth, and sobriety. The programs claims it has more than 2 million members globally, and reports that 33 percent of the 8,000 members in North America retained their sobriety for at least 10 years. It’s not for everyone, agrees Psych Central, but for many, it has made a life-changing difference.
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.
If you think you have a problem with drinking, or know someone who does, we can help. The primary purpose of Alcoholics Anonymous is to help the alcoholic who is still suffering. If you are experiencing a medical emergency, please contact your local hospital or health care provider. To contact someone in Alcoholics Anonymous, please visit our Find A Meeting page, and click on the city or district nearest you. This will provide meeting locations, meeting times, and phone numbers to contact someone nearest you for help.
Twelve-step recovery programs aren’t the answer for every addict. But these principles of behavior have helped a lot of people face their addiction honestly and rebuilt their lives on a more solid, stable foundation. At Axis, our approach to recovery is based on the guidelines of the 12 steps. We use these principles as a framework for developing personalized treatment plans that address each client’s individual needs. If you’re struggling with a drug or alcohol problem, we encourage you to call our intake counselors to find out how our philosophy of care can make positive changes in your life.
The term “self-help” is often used to describe AA groups, but it is somewhat of a misnomer: it isn’t “professional help,” but it is more about listening and accepting guidance from a peer or mentor than it is about using “self” to move beyond active addiction. And while Twelve-Step approaches accept that addiction is a disease and isn’t simply a sign of “moral weakness,” there is a focus on values and morals in Twelve-Step Recovery, as the individual is encouraged to engage in a process of taking a “moral inventory” of one’s life and past actions in preparation for “making amends” to others, as indicated, possible, and appropriate.
The first step in the treatment of alcoholism, called detoxification, involves helping the person stop drinking and ridding his or her body of the harmful (toxic) effects of alcohol. Because the person's brain and body has become accustomed to alcohol, the alcohol-dependent person will most likely develop withdrawal symptoms and need to be supported through them. Withdrawal will be different for different individuals, depending on the severity of the alcoholism as measured by the quantity of alcohol ingested daily and the length of time the patient has been alcohol dependent.
Prior to entering any inpatient or outpatient rehabilitation program for alcohol use disorder, the possibility that the person with this disorder could suffer from physical symptoms of alcohol withdrawal needs to be addressed. People who have a pattern of extensive alcohol abuse are at risk for developing a potentially fatal set of withdrawal symptoms (delirium tremens or DTs) that may include irregular heartbeat, sweating, high fever, shaking/tremors, hallucinations, and even fatal seizures, three days after withdrawal symptoms begin. Those individuals will need to enter a detoxification (detox) program that includes the use of close medical support, monitoring, and prescription of medications like chlordiazepoxide (Librium) or clonazepam (Klonopin) to help prevent and ease the symptoms of alcohol withdrawal.
Detoxification begins 4–6 hours after the last consumption of alcohol and lasts for 5–7 days. In this period, diazepam is administered every six hours to control the detoxification process and withdrawal symptoms. While detoxification often occurs in hospitals, some people undergo detoxification in their homes. However, patients should not consider undergoing detoxification at home if they have suicidal feelings, do not have friends and family to support them, or have experienced severe withdrawal symptoms before.

Elderly people who drink excessively are at risk for having more serious illnesses, doctor visits, and symptoms of depression, with less life satisfaction and smaller social support networks compared to senior citizens who have never consumed alcohol. While binge drinking is often thought to be a symptom of young people, an often unknown fact is that a significant percentage of middle-aged and elderly individuals also engage in binge drinking. This behavior increases the risk for driving drunk, no matter what the age. That, in turn, puts the individual at risk for being arrested for driving under the influence (DUI) of alcohol.
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.
If you are trying to save the files that SFRS has recovered to another hard drive and it appears that SFRS gives you a message that the drive needs to be formatted, it means that the drive you want to save to is “raw” and not ready to have files saved to it. SFRS is not actually giving you the message, but your OS (Windows) is. To be able to save data to a hard drive it must first be “partitioned” and “formatted” with a file system such as Windows NTFS or Mac HFS. To format a hard drive means to delete any information on the drive and to set up a file system so your operating system can read data from, and write data to, the drive.
Diabetes: There is a high risk of developing diabetes type 2, and people with diabetes have a high chance of complications if they regularly consume more alcohol than is recommended. Alcohol prevents the release of glucose from the liver, resulting in hypoglycemia. If a person with diabetes is already using insulin to lower their blood sugar levels, hypoglycemia could have serious consequences.
The twelve steps of alcoholics anonymous do not come from the Oxford Groups because there were twelve apostles the  Oxford Groups practised six steps all of which AA adopted but also added six which had to do specifically with a non denominational or religious numinous power and the specific effects of alcohol addiction on the character on the afflicted.  As many addicts -- probably many more -- have been harmed by the ignorant prescription or pharmaceuticals to people in recovery for AA as have been harmed by a lay AA sponsor telling a member that all prescriptions are bad. .   
AA's program extends beyond abstaining from alcohol.[33] Its goal is to effect enough change in the alcoholic's thinking "to bring about recovery from alcoholism"[34] through "an entire psychic change," or spiritual awakening.[35] A spiritual awakening is meant to be achieved by taking the Twelve Steps,[36] and sobriety is furthered by volunteering for AA[37] and regular AA meeting attendance[38] or contact with AA members.[36] Members are encouraged to find an experienced fellow alcoholic, called a sponsor, to help them understand and follow the AA program. The sponsor should preferably have experience of all twelve of the steps, be the same sex as the sponsored person, and refrain from imposing personal views on the sponsored person.[37] Following the helper therapy principle, sponsors in AA may benefit from their relationship with their charges, as "helping behaviors" correlate with increased abstinence and lower probabilities of binge drinking.[39]

You have a wealth of choices when it comes to alcohol and drug addiction treatment. Depending on your situation, the severity and type of addiction and your resources, you may opt for a residential recovery program, an outpatient one, support groups, or a combination of them. It really comes down to the person and their needs. If you or your loved one need help but are still feeling a bit lost or overwhelmed by the choices in front of you, our helpline advisors work 24/7 via our toll-free number to connect you with the best treatment. Call when you’re ready to get clean and sober – 1-888-319-2606 Who Answers? .


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Jump up ^ "Corrections Catalog". Archived from the original on 12 December 2009. Retrieved 12 December 2009. The titles include: Carrying the Message into Correctional Facilities, Where Do I Go From Here?, A.A. in Prison: Inmate to Inmate, A.A. in Correctional Facilities, It Sure Beats Sitting in a Cell, Memo to an Inmate Who May be an Alcoholic, A Message to Corrections Administrators
For some individuals whose circumstances or conditions don't require a full-time, residential recovery process, outpatient recovery may be a viable recovery option. In an outpatient recovery program, individuals undergo addiction rehabilitation while living at their own homes. They are able to schedule regular check-ins at a clinic or treatment center for medication and counseling on a regular basis.

The Oxford Group’s creed was based on four principles: all people are sinners, all sinners can be changed, confession is required for that change, and the change must also change others. One of the people Hazard spread his word to was Bill Wilson, an old friend and former drinking partner. Through Hazard, Wilson (who was struggling with his alcoholism) learned of Carl Jung’s pantheistic musings on the importance of healthy spirituality; for Wilson, that healthy spirituality manifested in the form of a desperate conversion to Christianity in an attempt to quit drinking. When this happened in 1934, Wilson attributed the victory to his faith, and specifically Hazard’s intervention. He spoke to Dr. Bob Smith, a fellow Oxford Group member and recovering alcoholic who applied the same principles to his own battle with addiction. Smith had his last drink on June 10, 1935, one month after he and Wilson started working together; today, that date is celebrated as the birth of Alcoholics Anonymous, and its founders are remembered as “Bill W.” and “Dr. Bob.”
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