Abstinence Not Required: Expanding the Definition of Recovery from Alcohol Use Disorder

Over 14.5 million Americans meet the criteria for this disorder. AUD is responsible for many serious medical conditions and contributes to 95,000 deaths a year in the United States. AUD can lead to a variety of occupational, legal, and interpersonal problems. Recovery from AUD is possible, but data related to recovery are limited.

So, what do these two components of the new definition of recovery entail?

Alcoholism resources and more information on the topic of high-functioning alcoholics are available here. Understanding the comprehensive range of harms caused by regularly drinking too much emphasizes the importance of seeking support if needed. But knowing when to reach out and what types of support are available can be confusing. Keep in mind, the timeline of recovery can vary from person to person. If you have severe liver damage, it will take longer for your liver to heal. For heavy drinkers, it can take years for liver damage to start to reduce.

The Length of Alcoholism

recovering alcoholic definition

Currently, there is no agreed upon definition of the term „recovery” within the alcohol treatment literature. The effectiveness of treatment programs is typically evaluated based primarily on assessment of alcohol consumption, or reduction in drinking frequency and problem severity, but several treatment modalities view abstinence from drinking as a requisite criterion for recovery. The recovery process also signifies numerous lifestyle and biological changes (physical health) that are difficult to operationalize. It is critical that researchers and treatment providers develop a formal definition of recovery that has consensus among a wide group of those in recovery as well as those treating it. Thus, it is important to engage in research and clinical efforts that provide a foundation for operational definitions of recovery that reflect this process in order to improve our conceptualization of recovery. The development of more formal definitions of recovery will be of considerable interest to policymakers, who make decisions pertaining to quality of care for AUD services.

There is a new research definition of recovery from alcohol use disorder.

A formal recovery plan gives you strategies for dealing with people or situations that could trigger relapses. Recovery from AUD is marked by stages of abstinence, withdrawal, repair, and growth. While the process may take several years, the outcome is a happier, healthier life where you have the freedom to fulfill your full potential.

Prior definitions of recovery involved the demonstration of several other criteria, such as sobriety, paying attention to personal health, being a good citizen, living a self-directed life, and striving to reach one’s full potential. The NIAAA acknowledges that such factors may facilitate recovery, but they are not necessary to fulfill the NIAAA’s definition. First, an individual in recovery no longer fulfills the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for AUD. Second, the person does not fulfill the criteria for heavy drinking. Therapy is often a primary component of alcoholism recovery, regardless of whether a person has a mental illness.

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Fortunately, most individuals who develop an AUD will eventually resolve their problem, with “recovery” defined in various ways across studies (Dawson et al., 2005; Tucker et al., 2006, 2009; Witkiewitz et al., 2019). Having scientifically sound definitions of recovery from AUD that can be shared across population and individual levels of analysis is fundamental to recovery research. Abstinence may be a necessary recovery component for some individuals with AUD, yet research indicates that it is not essential for all, and positive changes in functioning and well-being often are more fundamental Sober Houses Rules That You Should Follow elements.

Preventing a relapse starts with having a strong recovery plan. Surround yourself with supportive loved ones, attend self-help group meetings, and/or go to therapy sessions. Once that first drink is taken, the phenomenon of craving occurs, and the cycle continues. This cycle of alcoholism will almost always happen once an alcoholic starts drinking.

  • The mental challenge of this stage is not to let anything make you feel defeated.
  • These and other outpatient options may reduce stigma and other barriers to treatment.
  • Alcoholic detox is the procedure by which alcohol is removed from the body through a forced period of withdrawal.
  • In line with the AA (1939) seminal definition, recent definitions of recovery, including a working definition from SAMHSA (2011), have focused on the importance of functioning, including a common concern with general well-being in defining recovery.
  • Call our admissions line to learn more about South Shores Detox and Recovery’s programs.
  • People who begin drinking socially or recreationally may find themselves drinking larger amounts more frequently.

Importance of Defining Recovery

  • Support groups provide helpful literature, a safe place to share concerns, and a network of people to turn to as needed.
  • In a sense, we are reborn, and we are recovered from the disease of alcoholism.
  • In severe cases, substance-induced psychosis can develop, causing an individual to experience hallucinations and delusions, which are physically dangerous.
  • Though abstinence is an important element, relapses do occur but don’t need to signal the end of recovery.

In the DSM-5, a diagnosis of AUD requires that an individual has at least two of 11 symptoms leading to significant impairment over a 12-month period. In order to be in recovery, a person must no longer demonstrate any of these symptoms other than reporting a craving for alcohol. They have also treated their underlying issues (mental health, spiritual, physical) that led to or resulted from their drinking. These alcoholics have found a way to fill the void once satisfied by alcohol through spiritual, emotional and/or behavioral solutions that they have learned through treatment, therapy, medication management and/or mutual-help groups (A.A., SMART Recovery).

Environmental Effects

It is equally challenging to witness a loved one battling Alcohol Use Disorder. The stark contrast between those who can enjoy a half glass of wine with dinner https://thecinnamonhollow.com/a-guide-to-sober-house-rules-what-you-need-to-know/ and move on while others face the relentless grip of addiction is undeniably one of life’s profound injustices. Understanding the causes of alcohol addiction can shed light on this complex issue and help us explore it more compassionately. It is common to experience slip-ups or relapse when you quit drinking. If that’s something you’re going through right now, don’t give up. Getting support at a treatment center like South Shores can help you through this time.

recovering alcoholic definition

Component 3: Biopsychosocial Functioning and Quality of Life in Recovery

Following the initial treatment phase, alcoholics are encouraged to continue their participation in therapy and support groups. This helps them manage their urges to drink, as well as any problems that trigger the urges. Recovery from alcohol addiction is continuous and so it’s important to attend alcohol recovery groups such as AA in order to always hold yourself accountable. Within the first few days after you quit drinking, you may experience uncomfortable withdrawal symptoms. Because of certain symptoms and potential complications, acute alcohol withdrawal can in some instances be dangerous. Because of these risks, many undergo alcohol detox and withdrawal management under professional medical care.

For many, alcohol temporarily helps manage the persistent desire to avoid feeling bad—it temporarily relieves symptoms of depression and anxiety, providing a way to self-medicate in a socially acceptable manner. However, this self-medication can quickly spiral into a destructive long term cycle, as alcohol is a depressant that can exacerbate symptoms and worsen conditions. This leads to heightened symptoms, greater distress, and an increased desire to experience symptom alleviation.

People who begin drinking socially or recreationally may find themselves drinking larger amounts more frequently. Although alcohol is legal and easily accessible, it can be as harmful and addictive as illicit substances. People who begin drinking socially or recreationally may find themselves drinking larger amounts more frequently, and eventually, they may feel unable to relax or enjoy themselves without it.

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