Alcoholics Anonymous: Working Step 3

“Made a decision to turn our will and our lives over to the care of God as we understood Him.”

Step 3 is ultimately about changing the trajectory of one’s life through surrender. Both the word choice and concept of this can be difficult to swallow – even the original text acknowledges the difficulty and that it can seem impossible to fulfill. However, the text also states that this step is one of the most crucial in order to find lasting success with both Alcoholics Anonymous and the remainder of the 12 steps program, making it crucial that working step 3 is done in sincerity.

A Guide to Step 3 of Alcoholics Anonymous

Step 3 is inherently more challenging than the two previous ones because it is the first time being prompted to take action. Steps 1 and 2 were about mental preparation: accepting that healing is needed along with external help. Next is to turn words into action and to make a deeper commitment to the program and in turn, your own recovery. 

Use of the word “decision” is very meaningful as the concept of willingness is an integral part of moving forward in the recovery process. Because while you may find yourself in an AA group meeting against your will, it’s only your own willingness that can bring you to seek real and lasting change. Step 3 marks the first of many active and thoughtfully-made decisions to come. 

The significance of self-will

Step 3 challenges us to  “let go”  so that we are no longer operating solely based on our own self-will. The concept (also referred to as human will or free will) has strong cultural implications and is closely tied to our personal identities. For that reason, the concept of relinquishing that control is one that is quite foreign to us – especially to AA beginners – and can be difficult to grapple with. 

However, this urging to “turn our will” over is not said to eliminate our sense of self or our individuality. Self-will is fraught with ego, bias, and selfishness. It tends to dominate our thoughts and actions and can lead us astray. Forgoing self-will and instead, following a new path that is laid for us via a “higher power” that has our best interests at heart, is far more likely to lead us to recovery.

Working Step 3 if You’re Not Religious

For those who aren’t religious, the mention of ‘God’ can be uncomfortable and a major roadblock to connecting with this statement. However, the original author of the 12 Steps of Recovery wanted the program to be accessible by all and purposely included the phrase “as we understood Him”. Once again, the use of the capitalized ‘h’ in “Him” would appear to be another reference to the standard Christian concept of God. However, it is meant to modify the prior mention of God, and encourage individual interpretation. 

This higher power can simply be a general sense of spirituality or even another person. In many interpretations, participants have determined their AA groups as their higher power. Regardless of how or who you choose to rely on, faith is a major component to successfully working Step 3.

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Alcoholics Anonymous: Working Step 2

“Came to believe that a Power greater than ourselves could restore us to sanity.”

Working Step 2: What It Means & How To Do It

Whereas Step 1 is about recognizing the scope of your substance abuse problem, Step 2 is the leap of faith that emphasizes that overcoming addiction is something you cannot do alone. It’s understanding that up until now, you have primarily been self-reliant in trying to overcome addiction and that now, you are ready to accept external help. 

What does ‘a Power greater than ourselves’ mean?

While the mention of ‘Power’ traditionally refers to God – your interpretation does not have to (we’ll touch back on this later). It can be any person, place, thing, or even a feeling, that can serve as an unwavering source of motivation for you. These external motivators will help keep long-term goals in perspective during moments of weakness.  Examples of non-religious “higher powers” can be an instrument you play, a family member that’s rooting for you, the desire to see the next season of a show you love, or simply your AA sponsor.

What does ‘Restore us to sanity’ mean? 

This phrase is known for being somewhat off-putting to recovering addicts. At face value, it would seem that it is implying the reader is insane or crazy. Naturally, this could be a cause for taking offense. One of the core beliefs of addiction recovery is that you are more than your addiction and it’s odd that an organization dedicated to helping addicts would place such judgment on its participants. 

Step Two is not meant to be a personal attack. Keep in mind that the 12 Steps for Recovery were written nearly a century ago. Many of the terms they use and their way of speaking does not seamlessly carry over to our modern-day language. As for actually carrying out Step 2, consider your actions related to addiction – there are probably a few things that could qualify as a bit insane. 

You may have prioritized drinking over work, relationships, and even your own basic sustenance. You may have done things you never would have otherwise like rob a family member or lie to your spouse. Realizing that your alcohol habits led you to do and say things that are out of character. 

Reading Is Believing…Right? 

One aspect that can sometimes trip up even the most devoted of 12 Step participants is the use of the past tense “came to believe”. Whether these words are read aloud or in your mind, if it sounds like you’re being told that you’ve already done something, you might fail to reflect whether you’ve actually internalized the message being this step. To properly work step two requires reflection and a deep look inward for what truly motivates us – and sometimes, those things aren’t as noble as we would like to believe.

Is Alcoholics Anonymous Only For Christians?

A common challenge new Alcoholics Anonymous members face when participating in the 12 Steps programs is the heavy religious overtones. God, faith, prayer – these are all recurring topics mentioned throughout AA’s principles, foundations, and practices. What’s the connection between Alcoholics Anonymous and religion? It actually is due to the organization’s origins as a Christian group when it was founded almost a century ago in 1935. 

For those who aren’t of the Christian faith – or any faith for that matter – the direct and indirect mentions of God can feel alienating. Fortunately, you don’t need to be religious to participate in AA or successfully complete the 12 Steps of Recovery. Working Step 2 can be done by anyone – no matter their religious affiliation (or lack thereof). 

Find An Alcoholics Anonymous Group Near You

Nowadays, many AA groups have adopted a secular version of the 12 Steps program. The underlying messaging is the same, but the steps have simply been revised to omit any religious mentions. This can make it easier for non-religious members to relate and allows for a wider range of interpretations. Some groups take it a step further and have established themselves as an AA group for non-religious folks to serve as a safe space for agnostics and atheists. 

It’s important to find a group where you feel comfortable – after all, you will have to share some of your lowest moments with these people. To make sure you find the AA group that’s right for you, visit our Alcoholics Anonymous meeting directory to find meetings near you. 

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How To Choose Addiction Treatment Centers

Beating your drug or alcohol addiction is not easy, but choosing the right facility can make all the difference. The question then becomes: how do you pick one? There are over 14,000 addiction treatment centers in the United States which can vary by the types of treatments, programs, or facilities they offer. There’s so much at stake that deciding which rehab to go to is not something that should be done lightly. Here are 3 important factors to consider when choosing between addiction treatment centers. 

Location

Your first thought may be to search for an addiction treatment center near you. You’re ready to get clean ASAP so you look for rehab facilities that are close by. There are certainly benefits to staying local – being close to loved ones, saving on travel costs, you might even be able to continue going to work – however, these conveniences might actually hinder your recovery. 

Local vs Going Away

Just as you have the freedom to choose to check yourself into rehab, you have the freedom to leave even if your program is incomplete. Anxiety, cravings, or a false sense of recovery can cause patients to leave rehab early. Being in a city you know with plenty of resources at your disposal (your own car, knowledge of public transport, or nearby friends that could pick you up) makes giving into temptation easy, and the option to abandon their treatment easily accessible. 

Urban vs Rural Setting

For this reason, many addicts opt to travel out-of-state for treatment. But don’t simply sign on for scenic views or exotic locations. It’s important to consider what environment you’re going into. Swapping one fast-paced city for another may still be familiar enough to tempt you astray making a peaceful, remote location a better choice. On the other hand, if boredom in a small town is what drove you to abuse drugs in the first place, perhaps a bustling metropolis with lots of options of sober activities to partake in might prove more helpful to your recovery. 

Types of Treatment Available

Once you’ve narrowed down the setting and place where you’d like to undergo addiction treatment, there’s the matter of finding the type of treatment that’s best for you. Inpatient, outpatient, or perhaps as a mix of both? This will depend on the severity of your addiction. You may require intensive care or be just fine with only a few weeks of therapy. In addition, you may need or want medical intervention to mitigate detox or withdrawal side effects, which not all facilities offer. It can be impossible to self-diagnose how serious your own addiction is. Fortunately, most addiction treatment centers conduct an evaluation to determine the level of care you need.

Detox

This is the most intensive type of addiction treatment available. In detox, patients receive 24/7 care tailored to the specific needs of the first days of recovery. Detox facilities often incorporate some form of medically assisted treatment to help manage symptoms and others also incorporate alternative therapies. Detox may last anywhere from a few days to 2 weeks depending on the patient’s needs.

Inpatient/Residential Treatment

After detox, the patient may move to a long term residential program where they live on the premises and receive 24-hour care which often includes medical treatment such as detoxing, along with therapy-based counseling. The length of these types of programs can vary greatly, ranging from 6 months to a year or a shorter-term stay of 3 to 6 weeks. Naturally, this is the most expensive type of addiction treatment which will also influence whether intensive inpatient treatment is a viable option.

Partial Hospitalization Program (PHP)

Partial hospitalization provides comparable levels of attentive care as inpatient treatment would. The primary difference is that in PHP the patient does not live on the premises. They will likely live in a sober home or halfway house during this stage of treatment. Other than that there is still a considerable amount of psychiatric support in addition to behavioral therapy. This is often the next step in the recovery journey as a patient transitions from 24-hour inpatient care to outpatient. Many of the support in this stage focus on addressing causes of addiction developing healthy coping mechanisms.

Outpatient Treatment

Designed to help recovering addicts transition back to their normal life, fully outpatient treatment is the least intense. This is for individuals who are ready to transition back to normal life, while still finding time to reflect on their recovery. It typically entails a few hours of therapy each week but allows the person a significant level of freedom, allowing them to return to work as normal or simply pursue other activities. This is often the final stage of the recovery process but is also sometimes used for those who cannot commit to higher levels of care.

Your Mental Health

If you have a pre-existing mental health disorder, you should seek addiction treatment centers that specialize in the simultaneous treatment of psychological and substance abuse disorders. These types of programs are called Dual Diagnosis Treatment. They have become much more prevalent in modern addiction treatment as more and more research has shown that mental disorders play a significant role in addiction. 

 

No matter which came first, if some sort of psychiatric illness is present alongside substance abuse, it falls under this diagnosis. Depression, anxiety, and bipolar disorder are a few of the most common disorders that frequently coincide with drug abuse. One often influences the other and can be so intertwined that it’s impossible to effectively treat addiction without addressing the role the mental illness has played. 

Learn More About Addiction Treatment Centers

Not all addiction treatment centers are equal – in fact, they can be the difference between life and death. The facility you choose will be responsible for both your physical and mental well-being in addition to the overarching goal of long-term addiction recovery. The facility you choose may need to attend to your immediate health risks via medical detox, be able to get you through the initial unpleasantness of withdrawal, and stay by your side to help you manage any remaining cravings.

Alcoholics Anonymous: Working Step 1

“We admit we are powerless over alcohol – that our lives had become unmanageable.”

Breaking Down Step One: How To Complete It Properly

Step 1 of the Alcoholics Anonymous Program may seem straightforward and simple, but it is quite multifaceted. AA participants often mistakenly consider this first step completed by default since they are already aware that they have a problem. However, this approach will cheapen the eye-opening experience that the 12 Steps are intended to provide. If you’re looking to get the most out of your program, working Step 1 correctly will make your recovery journey so much more meaningful.

Deceptively simple, many fail to recognize the gravity of Step 1 and take it to mean “admitting that there is a problem”. While that is inarguably a crucial part of overcoming addiction, it falls short of this step’s true goal. Misconceptions like these are the main obstacle to properly working Step 1 and getting the most out of Alcoholics Anonymous.

Acknowledging the problem is not the same as true admittance of how out of control your addiction is

Many alcoholics in the beginning stages of Alcoholics Anonymous assume they have already completed Step 1 by default because they are actively partaking in a program, have checked into a rehab facility, or have taken initiative to find resources online. While these are fantastic steps towards recovering from alcohol addiction, they do not automatically mean that you have genuinely come to terms with how out of control your drinking has become and how severely it has disrupted your life.

You can be in Alcoholics Anonymous and still be in denial

Your body may be physically present at a meeting or therapy session, but your mind can still hold pockets of resistance. You might unwittingly still blame a friend or family member for drinking in your presence, that if you just stayed away from them you wouldn’t be tempted to drink. Or perhaps you feel that your high-stress job drove you to alcohol and once you find a new one, your drinking habits will return to normal. 

Thoughts like these indicate that deep down, you feel that your addiction is the fault of others and that external factors are the true culprit, rather than a lack of your own willpower, discipline, or self-control. Denial is commonplace in addiction recovery; it is a psychological form of self-defense as there can be a lot of shame and stigma tied to addiction. But until you have internalized that you are ultimately the person responsible for the situation you are in, true recovery is impossible. To truly complete Step 1, to admit powerlessness and that you have lost control over your life, requires a deep sense of humility and acceptance of responsibility.

Get Help Working Step 1

Completing step one is a crucial part of the addiction recovery process. However, it can be quite challenging as you must overcome any lingering sense of denial or blame towards others. Coming to terms and facing the reality of your addictions is the most powerful catalyst for positive change – but difficult to do on your own. Find an Alcoholics Anonymous meeting near you today with our helpful and free AA directory. 

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How To Stop Drinking Alcohol

According to reports published by Alcoholics Anonymous, there are nearly 2.1 million AA members across the world. That is over 2 million individuals who have a desire to stop drinking alcohol and to stay sober. If this was an easy feat, then alcoholics wouldn’t need a support group. Figuring out how to stop drinking alcohol is something that each and every one of these members has most likely struggled with. Here are 10 things you can do to improve your journey to sobriety:

  1. Make a plan
  2. Establish a support system
  3. Be open-minded
  4. Implement self-care 
  5. Pay attention to your diet & nutrition
  6. Talk to your doctor
  7. Find new, healthy hobbies
  8. Download a recovery app
  9. Set attainable long-term goals
  10. Reach out for help

Make a Plan

It’s easier to cope with the struggles of recovery when there is a plan already set. For instance, don’t wait until the cravings have already set in to decide how to overcome them. It is easier to overcome cravings when you have already had coping strategies in place. Consider what you will do and who you will call. What if you get withdrawal symptoms? Will you be in a facility that can treat you? If not, how will you get help in the event of a medical emergency? A treatment center has professionals who will help a client develop and implement a plan for recovery.

Establish Your Support System

Support from family and friends can be extremely helpful through the recovery process, but family members don’t necessarily understand what you are going through. Having professional and/or relatable support usually comes from places outside of your immediate social circle. Alcoholics Anonymous runs support group meetings that can be found across the country and are offered in various formats to meet each community’s needs. Through AA you can also find a sponsor, someone you can call whenever you need to talk and help hold you accountable. For those who don’t feel AA is right for them, there are other support options such as SMART Recovery.

Be Open-Minded

When it comes to getting sober and receiving treatment, stay open-minded. You may not have been someone who ever expected to take a yoga class, but you may end up finding this type of therapy extremely helpful. Additionally, it is ideal to be able to get sober without taking additional medications, but for some people, MAT is the safest route. Medications such as naltrexone have been found to be highly effective for alcohol recovery. Be willing to try different treatments and therapies to find what works for you.

Implement Self Care

Self-care means taking the time to do things that improve mental and physical wellbeing. Massages and yoga classes are 2 examples of common self-care activities, but in reality, self-care looks different for each person. For one person, self-care may be taking a nature walk once a week, whereas for others it might be going golfing. Think about what brings you joy and make it a point to find time for that particular activity.

Pay Attention to Your Diet & Nutrition

What you put into your body can either strengthen or weaken both your mind and body. For one, proper nutrition will improve the detox process by reducing the severity and length of withdrawal symptoms. On the other hand, malnutrition and dehydration can make symptoms significantly worse. Some symptoms, such as cravings, can actually last for months into sobriety. Proper nutrition can actually help reduce these symptoms and promote healing of damage that alcohol causes to one’s heart, brain, and liver. 

Talk to Your Doctor

Alcohol detox can be dangerous for an individual with a severe addiction. Before going “cold turkey”, talk with your primary care physician. They can evaluate your situation and provide advice to minimize any possible risks associated with getting sober. There is no need to risk any complications when your goal is to improve your life for the long term. An alcohol detox facility will provide access to a medical doctor that can help ensure your wellbeing and provide medical attention.

Find New, Healthy Hobbies

When going to bars or staying home with a bottle of whiskey are no longer options, what are you going to do with your free time? Think of sobriety as an opportunity to pick up a new hobby, skill, or activity. Maybe you are going to learn how to code or maybe you are going to grow a garden. 

Download a Recovery App

There are countless applications that you can download on your phone to get portable support. Some of them you can even download for free. For instance, Sober Grid is a free online recovery forum and Sobriety Counter counts how much money you have saved by not drinking. Here is a list of recovery mobile apps:

  • 12 Steps AA Companion
  • I Am Sober
  • Nomo
  • Sober Grid
  • Sobriety Counter
  • Stop Drinking with Andrew Johnson
  • Twenty-Four Hours a Day

Set Attainable Long-term Goals

Why do you want to get sober? Are you hoping to improve your relationship with your spouse or children? Do you want to progress in your career? What does this look like? Use these questions to set some goals for yourself. Make sure they are attainable. An example of a strong, attainable goal would be “plan a date with my spouse once a month for 6 months.” Sticking to this goal helps create structure and helps rebuild an important relationship.

Reach Out For Help

Never, I repeat, never think that you have to do this alone. There is always someone who will be willing to talk with you or help you through a tough time. From family and friends to crisis helplines, you are never without an option. At Find Recovery, our helpline is open 24/7. We are here to help direct you to the resources that you need.

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How Long Does It Take To Detox From Alcohol?

According to the National Institute of Alcohol Abuse and Alcoholism (NIAAA), “hangover symptoms peak when the blood alcohol concentration in the body returns to about zero.” So if you think that you will feel fresh and normal once the alcohol has left your system, you are sadly mistaken. Keep in mind, this statistic does not factor in instances of alcohol dependence. Someone who is dependant on alcohol will not only experience the symptoms of a standard hangover, but they are also likely to develop alcohol withdrawal symptoms as their body detoxes. The length of time that it takes to detox from alcohol can vary significantly depending on a number of factors. 

Alcohol Detox Timeline Overview

The detox timeline for alcohol does vary but always follows a general pattern. The timeline is measured based on when the last drink was consumed. Here is what to expect based on approximately how long it has been since an individual has consumed their last alcoholic beverage.

  • 6 to 12 hours: Mild withdrawal symptoms begin to appear
  • 12 to 24 hours: Moderate to severe withdrawal symptoms begin to appear
  • 72 hours: Delerium Tremons symptoms appear
  • 5+ days: Symptoms taper off

Factors Affecting Alcohol Detox Timelines

Not everyone experiences moderate to severe withdrawal symptoms. The severity and length of time these symptoms present for depends on:

  • Length of use: The longer someone has been heavily drinking alcohol, the more severe their symptoms will be, and the longer they may last.
  • Amount used: Similar to the length of use, someone who drinks heavier will experience more severe symptoms.
  • Cross drug use: When other drugs are taken in conjunction with alcohol it can significantly exacerbate the intensity and length of withdrawal.
  • Nutrition & Hydration: A nutritious diet, proper hydration, and vitamin and mineral supplements can help the body process alcohol for quicker healing. This can reduce the severity of withdrawal symptoms and speed up how long it would take to detox from alcohol.
  • Biology: Various biological factors including genetics, gender, etc., can also cause alcohol detox to be longer and more severe or shorter and less severe.

How Long Does Alcohol Stay In Your System?

As mentioned earlier, symptoms of a hangover (as well as detox) typically peak when an individual’s BAC hits 0. This means that if we know when there is no longer any alcohol in one’s system, then theoretically we will know when the symptoms are as bad as they are going to get. The factors listed above that affect alcohol detox timelines can also affect how long alcohol stays in your system. As a general reference, someone who is not dependent on alcohol can refer to a BAC table to determine how much alcohol is still in their system. However, most of these tables only go up to a certain amount of drinks. Someone who drank to an extreme excess or who has developed a severe alcohol dependence may not reach a BAC of 0 for 72 hours. 

Alcohol Testing

As mentioned, BAC charts are a good way for the average person to get an idea of how much alcohol may be in their system, but they do have their limitations. There are a number of ways to test an individual’s BAC but not all of them can detect alcohol for the same amount of time.

  • Breathalyzer: up to 24 hours
  • Blood test: 12 to 72 hours
  • Urine test: 12 to 48 hours
  • Hair test: several months

Are you or a loved one ready to detox from alcohol? If you are worried about how long it will take or how severe the symptom may be, an alcohol detox program can help. Find a treatment center near you.

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What Is Binge Drinking?

Have you ever gone to a party with friends and started off with a few mixed drinks, then taken a couple of shots of tequila in between drinks, then shotgunned a beer, and had a couple more mixed drinks? Well, that is certainly a case of binge drinking, but not all cases are this severe and some are more severe. So what exactly is binge drinking?

According to Merriam Webster, the definition of the noun binge is an unrestrained and often excessive indulgence or an act of excessive or compulsive consumption (as of food). Binge drinking is when you drink excessively, but “excessive” can be subjective? In order to talk scientifically about binge drinking, we need to define where the line is. 

Different organizations define binge drinking differently based on a few different factors. These factors could be the number of drinks consumed, blood alcohol content, gender, and length of use. The National Institute of Alcohol Abuse and Addiction (NIAAA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) are 2 of the more reputable organizations that provide definitions of binge drinking.

NIAAA – “a pattern of drinking alcohol that brings blood alcohol concentration (BAC) to 0.08 percent – or 0.08 grams of alcohol per deciliter – or higher. For a typical adult, this pattern corresponds to consuming 5 or more drinks (male), or 4 or more drinks (female), in about 2 hours.” 

SAMSHA – “5 or more alcoholic drinks for males or 4 or more alcoholic drinks for females on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past month.”

Binge Drinking vs. Heavy Alcohol Use

We now understand that binge drinking is drinking alcohol to excess, but then what is heavy alcohol use? Aren’t they the same thing? Actually, they are not. 

The NIAAA’s definition for binge drinking isn’t that far off from their definition of heavy alcohol use, “more than 4 drinks on any day for men or more than 3 drinks for women.” However, the way SAMHSA differs the 2 is that binge drinking is drinking heavily within a short period of time whereas heavy alcohol use is binge drinking over a period of time: “binge drinking on 5 or more days in the past month.”

Who Binge Drinks?

According to the CDC (who uses the NIAAA definitions for binge drinking and heavy alcohol use0, about 1 in 6 adults binge drink 4 or more times per month. Additionally, men and people between ages 18 and 34 are the populations most likely to binge drink. Lastly, of the people under age 21 who report drinking any alcohol, the majority participate in binge drinking.

Risks of Binge Drinking

The risks associated with binge drinking are many and are extremely severe. These include:

  • Alcohol use disorders/alcohol addiction
  • Heart disease
  • Accidental injuries (car crashes, falls, and burns)
  • Violence towards others and self
  • Poor pregnancy outcomes
  • Cancer (mouth, throat, esophagus, breast, liver, colon)
  • Memory loss
  • Learning impairments
  • Death

Preventing Binge Drinking

It can be easy to say “don’t drink excessively”, but it is not as easily done. For one, many people don’t know what constitutes binge drinking or how dangerous it can be. Additionally, alcoholism is a powerful mental illness that is not always overcome easily. However, just because preventing binge drinking is difficult, doesn’t mean it is impossible. If you could save yourself or your loved one from the risks listed above, wouldn’t you? Here are 3 things you can do to prevent binge drinking:

  • Educate your children, friends, and/or family members on what binge drinking is and it’s risks.
  • Set an example and limit your drinks. Say no to the round of shots. Just by you saying no, others who aren’t interested will feel more comfortable also saying no.
  • Provide delicious alternatives to alcoholic drinks. Think mocktails. Believe it or not, those fruity mixed drinks still taste amazing without alcohol.

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How Do I Know If I’m An Alcoholic?

The DSM-V, the diagnostic manual used by mental health professionals in America, refers to alcohol addiction as an alcohol use disorder. However, Alcoholics Anonymous leaves it up to the individual to identify themselves as an alcoholic or not. Additionally, an “acceptable” amount of alcohol consumption seems to differ by country, religion, family, age, and one’s overall social environment. Consider an Islamic family that drinks zero alcohol versus an American college student who regularly goes out to bars. If someone in a devout Islamic family drinks any alcohol at all, it is unacceptable. However, an American college student can drink heavily several times per week without anyone batting an eye. With so many different standards and criteria for what is acceptable, it leaves many people wondering “How do I know if I’m an alcoholic?”

Let’s take a deeper look at some of the criteria that a couple of organizations have outlined:

Alcohol Addiction According to the DSM-V

The current version of the Diagnostic and Statistic Manual of Mental Disorders lists 12 criteria used to diagnose an alcohol use disorder (AUD). Only 2 of these criteria need to be met in order to be diagnosed with a mild AUD, 4-5 for a mild AUD, and 6 or more for a severe AUD. These criteria include:

  1. Had times when you ended up drinking more, or longer, than you intended?
  2. More than once wanted to cut down or stop drinking, or tried to, but couldn’t?
  3. Spent a lot of time drinking? Or being sick or getting over other aftereffects?
  4. Wanted a drink so badly you couldn’t think of anything else?
  5. Found that drinking—or being sick from drinking—often interfered with taking care of your home or family? Or caused job troubles? Or school problems?
  6. Continued to drink even though it was causing trouble with your family or friends?
  7. Given up or cut back on activities that were important or interesting to you, or gave you pleasure, in order to drink?
  8. More than once gotten into situations while or after drinking that increased your chances of getting hurt (such as driving, swimming, using machinery, walking in a dangerous area, or having unsafe sex)?
  9. Continued to drink even though it was making you feel depressed or anxious or adding to another health problem? Or after having had a memory blackout?
  10. Had to drink much more than you once did to get the effect you want? Or found that your usual number of drinks had much less effect than before?
  11. Found that when the effects of alcohol were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, restlessness, nausea, sweating, a racing heart, or a seizure? Or sensed things that were not there?

However, just a few years ago, the medical community used significantly different criteria to diagnose alcohol addiction. In the DSM-IV, alcohol-related mental health disorders were broken down into 2 categories: alcohol abuse and alcohol dependence. There were 4 criteria for alcohol abuse but only one had to be met to be diagnosed with alcohol abuse. Three out of seven different criteria listed in the DSM-IV needed to be met to diagnose alcohol dependence. 

An Alcoholic According to AA

Alcoholics Anonymous does not serve as a medical organization, but a support system for individuals that struggle with alcohol addiction. Thus, it does not set out to diagnose the condition. However, the one requirement to join AA is a desire to stop drinking. Some might be confused because AA is known for the phrase “My name is [insert name] and I am an alcoholic.” In reality, it is not required for members to identify as an alcoholic. Still, one could infer that an individual who seeks help with their desire to stop drinking may have been struggling to do so on their own. This does align with the 2nd criteria listed in the DMS-V for an AUD.

Additionally, the first step of AA states “We admitted we were powerless over alcohol—that our lives had become unmanageable.” Most would argue that someone who often drinks more than they intend or has tried to stop drinking, but didn’t, is powerless over alcohol. Also, most would agree that someone’s life is unmanageable if they are frequently hungover, experiencing withdrawal symptoms when they stop drinking or experiencing relationship and work issues due to their alcohol consumption.

Are you an Alcoholic?

Although over time and across different sources it has not always been clear how to know if someone is an alcoholic, there does also seem to be many consistencies. In the end, if you feel like you or a family member is struggling with alcohol, there is never shame in getting help. 

Get Help Now

At Find Recovery, we help connect individuals and families in need with resources such as AA meetings and treatment centers nearby. Find Recovery today when you call our hotline!

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What Does Unmanageability Mean In AA?

So you’ve decided to get sober, begin your journey to recovery, and follow a 12 step program. That’s awesome! Only, here you are looking at step 1 of Alcoholics Anonymous:

“We admitted that we were powerless over alcohol––that our lives had become unmanageable.”

When reading this sentence, you may think to yourself, what does “unmanageable” mean? The Big Book examines powerlessness very deeply but doesn’t go as in-depth about unmanageability. Let’s take a look at how alcohol can lead to an “unmanageable” life, what unmanageability is in AA, and how it is correlated with addiction or alcohol abuse.

Manageability: The Line Between Alcohol Use & Addiction

Alcohol use is extremely common in societies across the globe, and not everyone who drinks alcohol develops an alcohol addiction. Many people who drink on an even somewhat regular basis may at some point ask themselves, “Am I am alcoholic?”. How can you tell the difference between simple alcohol use and addiction? Well, understanding manageability is a factor that can be used to determine if someone has crossed that line.

When someone who is not struggling with addiction begins to experience the consequences of their drinking, they simply stop drinking. However, if someone is drinking, experiencing consequence after consequence and does not or cannot stop, then this is an unmanageable life. Everyone makes mistakes, but they usually learn from them and make better choices moving forward. Someone who seeks help for addiction is either someone who is court-ordered to, or someone who is not able to manage their drinking, and ultimately their life.

The DSM-V and Alcohol Addiction

The Diagnostic and Statistic Manual of Mental Disorders, or DMS, lists Alcohol Use Disorders in the manual and includes 11 criteria. Only 2 of the 11 criteria have to be met to be diagnosed with the disorder. Of these 11 symptoms, 4 of them are social symptoms that align with an unmanageable life. 

Signs Your Life Is Unmanageable

  • Frequently running late for events or meetings
  • Using the “I’m too busy” excuse often
  • Uncontrollable, angry outbursts without any regret or remorse
  • Getting fired because of inappropriate behaviors
  • Maintaining emotional distance from loved ones due to a focus on substance use
  • A lack of romance or intimacy caused by intrusive thoughts of substance use
  • Consistent alcohol use despite a fear of being called out
  • Cravings prevent responsibilities from being tended to
  • Hospitalization or self-harm
  • Uncontrollable depression, anxiety, or loneliness

Internal Vs. External Unmanageability

Signs of an unmanageable life can be broken down into 2 different categories, internal and external factors. Internal factors include being unable to manage emotions, feelings, and thought. Internal factors often contribute to external factors such as relying on excuses, exhibiting inappropriate behaviors, and projecting emotions onto others. 


If you or your loved one’s life has become unmanageable, get help from a local AA meeting or treatment center today.

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A Complete Guide to the AA Big Book

If you have ever looked into or attended an AA meeting, you may have heard of The Big Book. The Big Book of AA is a text used in Alcoholics Anonymous to spread the word of how to recover from alcoholism and share the AA recovery stories of others. The book is over 400 pages and can be broken down into 2 overarching parts. The first is dedicated to explaining how the program works and using anecdotes for an explanation. Included are chapters targetted towards certain groups of people, as well as how the 12 steps, 12 traditional, and 9 promises tie in. The other part of the book is dedicated to recovery stories. This 2nd part has changed from one edition to the other to include more recent stories that are more relatable to members in recovery today.

It was actually written by the first 100 members of AA. However, a man named William G. Wilson, aka Bill W., took on the bulk of the project and is credited as the author. He began wroke on the text in 1938 and the first edition was published on April 10, 1939. Over the years the book has been republished with new stories of recovery, without changes to the sections discussing the recovery program itself. There are 4 editions of the AA Big Book, with the most recent edition having been published just in 2001. 

The Big Book Across the Globe

Alcoholics Anonymous began in New York and didn’t really take off to become the widely trusted program we know today. However, this 12 step recovery program did eventually spread across the world. Today, the big book is one of the most all-time sold books with over 30million copies sold. In fact, The AA Big Book has been translated into 67 different languages and used by members in over 170 countries.

Big Book AA Acronyms

There are countless acronyms used in the AA community. A few of these are specifically related to The Big Book. In fact, if you see “BB”, this is the direct acronym for “Big Book”. It may be used to reference the text or to indicate that a particular AA meeting will be focused on the Big Book text. 

What happens at a Big Book Meeting?

Although all AA meetings generally start and end the same, the bulk of the meeting may vary. During a Big Book meeting, the leader will likely read a passage of The Big Book to the group and discuss the reading, what it means to them, and how it relates to recovery. During some meetings, they may open the discussion to other members present.

Search our AA meeting directory to find an AA Big Book meeting near you.

What is Big Book Study AA? 

Depending on the context, if you see “Big Book Study AA” it may be an AA meeting or a reference to a Big Book Study Guide for Alcoholics Anonymous. There are multiple groups that have published study guides designed to help members understand the contents of the Big Book. However, these are not published by Alcoholics Anonymous World Services. 

How Much is an AA Big Book?

If you are in the market for an AA Big Book, you have a few options. Of course, you can purchase a book off of Amazon, but this may not be the best option for you. There are ways to get the text for free as well as digital options. Consider all of your options before making a purchase, especially if money is tight.

A Hand-Me-Down Book

Step 12 of AA states “Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.” As a part of this step, AA members are encouraged to pass on their books and other materials to other members who may need it more. This is one way in which they carry the message of the program to alcoholics. If you do not have the means to purchase a Big Book, you can likely get one with the help of a local chapter. 

Purchase a Book

The Big Book can also be purchased new or used. Depending on where you purchase your book, the price can vary. They can be purchase from the following locations:

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