How Do I Get Help for Alcoholism?
Asking āhow do I get help for alcoholism?ā takes courage. Whether youāre asking for yourself or searching on behalf of someone you love, this question marks a turning pointāa moment of honesty that can change everything. We understand how overwhelming this feels, and we want you to know that help is available, recovery is possible, and you donāt have to navigate this alone.
Alcohol use disorder affects millions of families, and the path to healing involves the whole family working together. In this guide, weāll walk through everything from immediate crisis steps to long-term recovery strategies, helping you understand your options so you can move forward with confidence and hope.
Get Help Now: What To Do Today
If youāre ready to take action today, hereās what you need to know: getting help for alcoholism can start with a single phone call. You donāt need a formal plan, you donāt need to have everything figured out, and you certainly donāt need to hit ārock bottom.ā Reaching out nowāwhile youāre motivated and awareāoften prevents the serious health conditions, legal troubles, and relationship damage that come with waiting.
The first step is simply connecting with someone who can guide you. That might mean calling your doctor, reaching out to a helpline, or talking honestly with a trusted family member about what youāre experiencing. What matters most is breaking the silence and taking that initial step toward alcohol treatment.
If you or someone you love is in immediate dangerāexperiencing chest pain, seizures, severe confusion, hallucinations, or thoughts of self-harmācall 911 or go to the nearest emergency room right away. These are life-threatening symptoms that require immediate medical care.
For non-emergency support, the SAMHSA National Helpline (1-800-662-HELP / 1-800-662-4357) offers free, confidential, 24/7 support. Trained specialists provide treatment referrals and information in English and Spanishāno health insurance required. You can also call your primary care doctor the same day to discuss your drinking habits and get a referral.
One critical safety note: if youāve been drinking heavily and suddenly stop drinking, you may experience dangerous alcohol withdrawal symptoms including shaking, severe anxiety, sweating, or nausea. Alcohol withdrawal can be medically serious, so please talk to a healthcare provider before attempting to quit drinking on your own. They can determine whether you need medically supervised detox to stay safe.
When Is It Time to Seek Help for Alcoholism?
Many adults in the United States struggle with their relationship to alcoholāfar more than most people realize. According to the National Institute on Alcohol Abuse and Alcoholism, approximately 29.5 million adults (about 10.2% of the population) met the criteria for alcohol use disorder in 2023. People with AUD are more likely to suffer from major depression or anxiety over their lifetime. Yet only about 7.8% of those individuals received treatment, leaving millions without the support they need.
Hereās what makes this particularly heartbreaking: roughly 1 in 10 children in the U.S. live with a parent who has alcohol problems. The ripple effects of untreated alcoholism touch entire families, making early intervention even more important. There is also an increased risk of developing additional substance use disorders or experiencing relapse, especially for those who self-medicate or have co-occurring mental health conditions.
Consider seeking help if you recognize any of these situations:
| Red Flag | What It Might Look Like |
|---|---|
| Legal consequences | DUIs, arrests, or legal warnings related to drinking |
| Work-related drinking | Drinking before, during, or immediately after work; calling in sick due to hangovers |
| Medical warnings | A doctor has expressed concern about your liver, blood pressure, or other health issues |
| Morning drinking | Needing alcohol to start drinking before noon or to āsteady your nervesā |
| Failed attempts to cut down | Repeatedly promising yourself youāll drink less, then not following through |
| Relationship strain | Arguments with family members about how much you drink |
Itās important to understand that āhigh-functioningā alcoholism is still alcoholism. Many people with alcohol use disorder hold jobs, pay bills, and maintain outward appearances of normalcy. But if alcohol is causing problems you keep minimizing, dismissing, or hidingāthatās a sign something needs to change.
The Diagnostic and Statistical Manual (DSM-5) defines AUD as meeting at least two of eleven criteria over the past 12 months. These include craving alcohol, loss of control over drinking, continuing despite harm, and experiencing tolerance or withdrawal. Only a treatment provider can formally diagnose alcohol use disorder, but recognizing the problem yourself is a powerful first step.
Common Signs You May Have an Alcohol Problem
Sometimes seeing specific behaviors written out helps clarify what youāve been noticing but perhaps not naming. Ask yourself honestly whether any of these apply to you:
Behavioral signs:
- You regularly drink more than you intended, or for longer than planned
- Youāve lied to family members or friends about how much you drink
- You hide alcohol around your home, car, or office
- Youāve experienced blackoutsāgaps in memory from drinking
- You need a drink to relax, sleep, or feel ānormalā
- Youāve missed work, school, or important obligations due to drinking or hangovers
- Most of your social activities now revolve around drinking alcohol
Physical and emotional signs:
- You experience shaking, sweating, or nausea when you havenāt had a drink
- Your tolerance has increasedāyou need more alcohol to feel the same effects
- You feel physically dependent on alcohol to get through the day
- You feel guilty, ashamed, or defensive about your drinking behavior
- Youāve tried to stop drinking altogether but couldnāt
If even a few of these resonate, we encourage you to reach out to a doctor, counselor, or addiction specialist. You deserve honest answers and appropriate support.
Understanding Alcohol Use Disorder (AUD) and Stigma
Alcohol use disorder is a medical conditionāa chronic, relapsing brain disease recognized by every major health authority. It is not a moral failure, a character flaw, or evidence of weak willpower. Understanding this distinction is crucial, both for the person struggling and for family members trying to help.
Hereās what happens in the brain: chronic alcohol use alters your brainās reward and stress systems, particularly affecting dopamine and opioid pathways. Over time, alcohol becomes less about pleasure and more about avoiding the discomfort of not drinking. The prefrontal cortexāthe part of your brain responsible for impulse control and decision-makingābecomes impaired, making it genuinely difficult to ājust stop.ā
We recognize that stigma remains one of the biggest barriers to treatment. Many people delay seeking help because they fear judgment from employers, friends, or even healthcare providers. This shame keeps an estimated 90% of people who need treatment from ever receiving treatment.
But hereās what we want you to know: doctors, teachers, parents, executives, artists, and people from every walk of life live with alcohol use disorder. Recovery is common when people receive evidence-based care. Talking honestly with a treatment provider is confidential and can genuinely transform your life and your familyās future.
First Steps: Who to Talk to and Where to Start
Youāve recognized there might be a drinking problem. Now what? The good news is thereās no single ārightā way to begin. Different paths work for different people, and what matters most is taking that next step forward.
Common starting points include: verifying your insurance coverage for drug rehab.
- Holding an intervention
- Contacting an accredited alcohol rehab center
- Your primary care provider (doctor, nurse practitioner, or physician assistant)
- A mental health professional or licensed therapist
- A national helpline like SAMHSA (1-800-662-HELP)
- A local support group meeting
- An addiction medicine specialist
Before reaching out, consider writing down a few concerns and questions. This can reduce anxiety and help you communicate clearly. You might note things like: how much you drink on a typical week, specific incidents that concern you, and what you hope to change.
We also encourage telling one trusted personāa partner, friend, or family memberāthat you want help. Recovery rarely happens in isolation, and having someone in your corner makes the journey less lonely. Many alcohol treatment centers now offer confidential calls and virtual assessments for admissions, allowing for more privacy and convenience if that feels more comfortable.
Talking to Your Primary Care Provider
A primary care doctor, nurse practitioner, or physician assistant is often the easiest and safest first contact for alcohol problems. These healthcare providers see patients with substance use disorders regularly, and a brief intervention in this setting can be surprisingly effective.
What to expect at your first appointment:
Your provider will likely ask about:
- How often you drink and how much you drink at a time
- Whether youāve tried to quit drinking or cut back before
- Are you able to ‘function’ while drinking
- Your health history, current medications, and any health conditions
- Your mental health, including depression, anxiety disorders, or past trauma
- Whether you experience withdrawal symptoms when you donāt drink
Be honest about your drinkingāincluding binge episodes and any morning drinking. This information helps your provider assess the severity of your situation and recommend appropriate next steps. They can screen for alcohol use disorder, order lab tests (such as liver function panels), and check blood pressure and other alcohol-related concerns.
From there, your primary care provider might offer brief intervention and counseling, prescribe medications for alcohol dependence, refer you to an addiction specialist, or recommend a specific level of care such as outpatient counseling or intensive treatment.
Important question to ask: āIs it safe for me to quit drinking at home, or do I need medically supervised detox?ā This is essential information that could save your life.
When to See a Mental Health or Addiction Specialist
While primary care providers are an excellent starting point, some situations benefit from seeing a psychiatrist, addiction medicine doctor, psychologist, or licensed addiction counselor. These specialists focus specifically on substance use disorders and co-occurring mental disorders.
Consider a specialist if youāre experiencing:
- Repeated relapses despite previous treatment attempts
- A history of severe withdrawal, seizures, or delirium tremens
- Co-occurring mental health issues like PTSD, bipolar disorder, or severe depression
- Other addictions alongside alcohol (such as opioids or benzodiazepines)
- Previous unsuccessful stays in treatment programsālearn more about the DSM-5 criteria for Alcohol Use Disorder.
Specialists provide in-depth assessments and can offer integrated treatment for mental health conditions that may be fueling your alcohol misuse. Many people with AUD also struggle with anxiety disorders, depression, or traumaāand addressing these underlying mental health issues is often essential for lasting recovery.
To find a certified addiction specialist, ask your primary care provider for referrals, search your health insurance directory, or use SAMHSAās online treatment locator at findtreatment.gov.
Treatment Options for Alcoholism
Thereās no single treatment that works for everyone, and effective disorder treatment extends far beyond the stereotypes you might have seen on TV. Modern alcohol treatment is evidence-based, individualized, and designed to address not just the drinking but the whole personāincluding physical health, mental health condition, relationships, and life circumstances.
Treatment typically combines multiple approaches:
- Behavioral treatment (individual or group therapy)
- Medications that reduce cravings or support abstinence
- Support groups and peer connections
- Lifestyle changes and stress management
- Treatment for co-occurring conditions
Other forms of treatment, such as therapy or support programs, are also available and can be effective depending on individual needs.
The right combination depends on your AUD severity, physical and mental health, support system, and personal preferences. Many people move between different levels of care over timeāstarting with more intensive treatment and stepping down as they stabilize, or stepping up if challenges arise.
Outpatient Counseling and Behavioral Therapies
Outpatient counseling involves meeting regularly with a counselor or therapistātypically weeklyāwhile continuing to live at home and maintain work, school, or family responsibilities. This is often appropriate for mild to moderate alcohol use disorder or as ongoing support after more intensive treatment.
Key evidence-based behavioral therapies include:
| Therapy Type | How It Helps |
|---|---|
| Cognitive-Behavioral Therapy (CBT) | Identifies triggers and unhelpful thought patterns; builds coping skills to manage stress and avoid drinking. Research shows CBT can halve relapse risk over 12 months. |
| Motivational Enhancement Therapy (MET) | Builds internal motivation to change through empathetic, non-judgmental counseling. Increases treatment engagement by approximately 30%. |
| Contingency Management | Uses incentives (like vouchers or rewards) to reinforce sobriety, achieving 40-60% abstinence rates in studies. |
| Family Therapy | Involves family members in treatment to improve communication, rebuild trust, and create a supportive home environment. |
Talk therapy also helps develop relapse prevention plans and addresses related issues like relationship conflicts, sleep problems, and learning to manage stress without alcohol.
Many programs now offer online therapy sessions or structured web-based CBT programs, making it easier to access care without disrupting your daily life.
Intensive Outpatient and Partial Hospitalization Programs
For those who need more structure than weekly counseling but donāt require 24-hour supervision, intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs) offer a middle path.
Intensive outpatient programs typically involve:
- 3-5 sessions per week
- 3-4 hours per session
- Living at home while receiving treatment
- Group therapy, individual counseling, and education
Partial hospitalization programs provide:
- Treatment during most of the day (6-8 hours)
- Returning home each evening
- More intensive supervision and structure
- Often includes medication management
Both options usually incorporate group therapy sessions, individual counseling, psychoeducation about addiction, and skills training. Theyāre particularly helpful for problem drinkers who have supportive home environments but need more accountability and structure than weekly appointments provide.
Residential and Inpatient Rehab Programs
Residential rehabilitation means living at a treatment facility for a set periodācommonly 28-30 days, though 60-day and 90-day programs are available for those who need extended care. Research suggests that longer treatment durations often lead to better outcomes, particularly for severe form alcohol use disorder.
What a typical day might include:
- Morning group therapy session
- Individual counseling with a licensed therapist
- Educational classes about addiction and recovery
- Skills workshops (stress management, communication, relapse prevention)
- Peer support activities
- Healthy meals and structured downtime
- Medical monitoring as needed
Residential treatment programs are especially beneficial for people with severe AUD, those with unstable or triggering home environments, or individuals who have tried outpatient care without success. Many centers also offer family sessions, comprehensive aftercare planning, and alumni support groups to ease the transition back home.
Before enrolling, verify that the program is licensed and accredited, ask about staff credentials (including whether they have addiction medicine physicians and licensed counselors), and confirm they use evidence-based therapies rather than unproven approaches.
Medically Supervised Detox and Alcohol Withdrawal
Detoxificationāthe process of safely stopping alcohol under medical supervisionāis often the necessary first step for anyone who is physically dependent on alcohol. This is not something to attempt alone if youāve been drinking heavily for an extended period.
Common alcohol withdrawal symptoms include:
- Tremors (shaking hands)
- Sweating and rapid heartbeat
- Nausea and vomiting
- Anxiety and irritability
- Insomnia and nightmares
Severe withdrawal symptoms (requiring immediate medical care):
- Seizures
- Hallucinations (seeing or hearing things that arenāt there)
- Severe confusion (delirium tremens)
- Very high blood pressure or fever
Approximately 5% of people experiencing alcohol withdrawal develop delirium tremens, which carries a 5-15% mortality rate if untreated. Anyone with a history of seizures, delirium tremens, or serious health conditions should receive medically supervised detox rather than attempting to stop drinking at home.
Detox typically takes 2-7 days and may occur in an inpatient setting or, for less severe cases, through outpatient monitoring. Medical teams often use medications like benzodiazepines to manage symptoms safely.
Remember: Detox is only the beginning of the treatment process. It clears alcohol from your system but doesnāt address the underlying patterns and challenges. Ongoing therapy, medications, and support groups are essential for long term recovery.
Medications That Help With Alcoholism
Several FDA-approved, non-addictive medications can significantly support recovery by reducing alcohol cravings, making drinking less rewarding, or helping maintain abstinence. These medications are backed by solid research and are considered standard components of comprehensive treatment.
A common misconception: using medication is not ātrading one addiction for another.ā Unlike alcohol or opioids, these medications donāt produce a high or create dependence. They work by rebalancing brain chemistry disrupted by chronic alcohol use.
Medications can be used alone orāmore effectivelyācombined with counseling and support groups. Ask your treatment provider whether medication might be appropriate based on your health history, treatment goals, and any other medications youāre taking.
Common Medications for Alcohol Use Disorder
Three primary medications are approved in the United States for treating alcohol use disorder, which is often part of a comprehensive approach when people detox from drugs or alcohol:
| Medication | How It Works | Key Considerations |
|---|---|---|
| Naltrexone (pill or monthly injection) | Blocks opioid receptors to reduce alcoholās pleasurable effects and decrease cravings. Can reduce heavy drinking days by up to 25%. | Not suitable for people currently using opioids. Available as daily pill (Revia) or monthly injection (Vivitrol). |
| Acamprosate (Campral) | Stabilizes brain chemistry by modulating glutamate activity, helping reduce post-acute withdrawal discomfort. | Most effective for people who have already stopped drinking and want to stay sober. Requires taking pills three times daily. |
| Disulfiram (Antabuse) | Creates unpleasant physical reactions (nausea, flushing, rapid heartbeat) if alcohol is consumed. | Requires strong commitment since it works as a deterrent. Needs careful supervision. Not recommended if you might drink impulsively. |
The choice of medication depends on factors including liver function, kidney function, pregnancy status, and whether your goal is to cut back or stop drinking altogether. Some people try one drink while on naltrexone and find alcohol simply isnāt appealing anymoreāa powerful reset for changing drinking behavior.
Future Directions and Personalized Treatment
Researchers continue developing new medications and approaches to match treatments with individual biology and circumstances. This field of āpersonalized medicineā uses factors like genetics, mental health history, and response to previous treatments to predict which approaches will work best for each person.
What does this mean for you? Itās completely normalāeven expectedāfor your treatment plan to evolve over time. If one medication doesnāt help or causes side effects, another might work better. If a particular therapy style doesnāt resonate, there are alternatives. The goal is finding the right combination that supports your recovery journey.
Choosing the Right Treatment Program for You
Not all treatment programs are created equal, and finding the right fit matters for your success. Before committing to any program, take time to ask questions and compare options.
Key factors to evaluate:
- Does the program use evidence-based practices (CBT, motivational interviewing, FDA-approved medications)?
- Is the program licensed and accredited by recognized bodies?
- What are the staff credentials and patient-to-staff ratios?
- Does the cost align with your health insurance coverage?
- Can you maintain work or family responsibilities during treatment?
We recommend comparing at least two or three programs before deciding. If possible, involve a trusted person in the decision-making process, especially if youāre feeling overwhelmed. Their perspective can provide clarity when everything feels confusing.
Key Questions to Ask Potential Treatment Providers
When calling or visiting a treatment program, having specific questions prepared ensures you get the information you need:
- What therapeutic approaches do you use? (Look for CBT, motivational interviewing, contingency management, family therapy)
- Do you prescribe medication for alcohol use disorder? If so, who manages it?
- What are the qualifications of your clinical staff?
- How do you handle relapses during treatment?
- What is your patient-to-staff ratio?
- Do you treat co-occurring mental health issues like depression, anxiety, or trauma?
- What does a typical day in your program look like?
- How long is your standard program, and is it flexible based on individual needs?
- How do you involve family or loved ones in treatment if desired?
- What aftercare services do you provide? (Follow-up visits, alumni groups, referrals to local counselors)
Practical Considerations: Insurance, Cost, and Access
Financial concerns shouldnāt prevent anyone from receiving treatment. Many people are surprised to learn how much of their care is covered.
Insurance coverage:
- Most employer-based insurance plans cover addiction treatment services
- Medicaid and Medicare provide coverage for many treatment options
- The Mental Health Parity and Addiction Equity Act requires insurance companies to cover mental health and substance abuse treatment comparable to medical coverage
Steps to verify coverage:
- Call the number on the back of your insurance card
- Ask specifically about coverage for āalcohol use disorder treatmentā
- Request a list of in-network treatment providers
- Ask about any prior authorization requirements
For those without insurance:
- Many programs offer sliding-scale fees based on income
- Payment plans can spread costs over time
- State-funded treatment programs exist in most areas
- Non-profit community health centers often provide low-cost services
Telehealth has dramatically expanded access to care, allowing people in rural areas or with transportation challenges to receive counseling and medication management from home.
Support Beyond Formal Treatment
While professional treatment provides an essential foundation, long-term recovery typically requires building ongoing support systems and making lifestyle changes that reinforce sobriety. Think of formal treatment as intensive learning, and ongoing support as daily practice.
Support can take many forms: mutual-help groups, online communities, faith-based programs, secular recovery organizations, family support, and sober social activities. Thereās no single ārightā type of supportāthe best choice is whatever helps you stay sober and build a life you enjoy.
We encourage trying more than one type of group if the first doesnāt feel like a good fit. Different approaches resonate with different people, and finding your community is worth the effort.
Mutual-Support and 12-Step Groups
Alcoholics Anonymous (AA) is the most widely known mutual-support organization for people with alcohol problems. Founded in 1935, AA now has over 2 million members worldwide. The program is peer-led, free to attend, and available through thousands of in-person and online meetings.
What to expect at your first AA meeting:
- Meetings typically last one hour
- You can listen without speakingāmany people just observe initially
- Introductions are optional (āHi, Iām [name]ā is common)
- Anonymity is respectedāwhatās shared in the room stays in the room
- Youāll hear others share their experiences with alcohol and recovery
Research indicates that regular AA participation correlates with 49% abstinence at one year, compared to 29% without group support. The 12-step model emphasizes admitting powerlessness over alcohol, working through structured steps with a sponsor, and ongoing meeting attendance.
Alternative support groups include:
- SMART Recovery: Science-based, uses CBT and motivational techniques, focuses on self-empowerment rather than powerlessness
- LifeRing: Secular, focuses on āsober selfā empowerment
- Women for Sobriety: Specifically designed for womenās emotional needs
- Secular AA: Maintains AAās structure without spiritual components
Local support groups of all types can be found through online directories, treatment providers, or community centers.
Online and Digital Supports
Technology has expanded options for support recovery. Many apps and web-based tools now offer tracking, education, CBT-based exercises, and peer connection for people working to quit drinking or cut back.
Types of digital support tools:
- Sobriety tracking apps that count days and track progress
- Craving logs that help identify patterns and triggers
- Structured online CBT programs (some prescribed by clinicians)
- Virtual meeting platforms for AA, SMART Recovery, and other groups
- Recovery community forums and social networks
When choosing digital tools, look for those developed or endorsed by reputable healthcare organizations, universities, or established treatment providers. Unverified apps may not provide accurate information or effective strategies.
The COVID-19 pandemic accelerated telehealth expansion, with virtual counseling and online AA meetings surging 300%. Many people find these options provide additional privacy and convenience that supports ongoing engagement.
Support for Family and Friends
Alcoholism affects the entire family, and loved ones deserve support and information too. Living with someone who has alcohol problems can be exhausting, frightening, and isolating. Family members often experience their own anxiety, depression, and trauma that needs attention.
Resources for families include:
- Al Anon: A 12-step program specifically for families and friends of alcoholics, focusing on self-care and healthy boundaries
- Adult Children of Alcoholics (ACA): For adults who grew up with alcoholic parents
- Family therapy: Professional counseling that addresses communication, boundaries, trust, and relationship repair
- CRAFT (Community Reinforcement and Family Training): Teaches family members how to encourage treatment engagement without confrontationādoubles the odds of getting a loved one into treatment
For partners and relatives, individual therapy can help process difficult emotions and develop healthy coping strategies. Family members are encouraged to avoid enabling behaviorsācovering up, making excuses, or shielding the person from consequencesāwhile maintaining clear, compassionate boundaries.
Living in Recovery: Self-Care, Triggers, and Setbacks
Recovery is a long-term process with ups and downs, not a single event or a destination you reach and then forget about. Understanding this helps set realistic expectations and prepares you to navigate challenges when they arise.
Three elements are essential for sustained recovery:
- Self-care: Building a healthy, meaningful life that doesnāt revolve around alcohol
- Trigger management: Identifying and planning for situations that increase urges
- Setback response: Knowing how to react if slips or relapses occur
Occasional slips are common in chronic conditions like AUDārelapse rates of 40-60% in the first year are similar to relapse rates for diabetes, hypertension, and asthma. What matters most is responding quickly, honestly, and with renewed commitment.
Daily Self-Care and Finding New Meaning
One of the most powerful predictors of lasting recovery is building a satisfying life that doesnāt need alcohol. When your days are filled with purpose, connection, and activities you enjoy, the appeal of drinking diminishes.
Practical self-care strategies:
- Maintain regular sleep schedules (alcohol disrupts sleep quality, so this often improves significantly in recovery)
- Eat balanced, regular meals (blood sugar stability affects mood and cravings)
- Incorporate physical activityāeven daily walks make a difference
- Schedule time for relaxation, hobbies, or mindfulness practices
- Nurture relationships with people who support your sobriety
- Explore new interests or rediscover old ones abandoned to drinking
Addressing ongoing mental health issuesāanxiety, depression, traumaāthrough therapy or medication is a crucial part of self-care. Many people find that when their mental health condition improves, their relationship with alcohol changes fundamentally.
Consider writing down your personal reasons for change and reviewing them regularly, especially during difficult moments. Why does staying sober matter to you? What do you want your life to look like?
Planning for Triggers and Cravings
Triggers are the people, places, feelings, or situations that increase your urge to drink. Recognizing your specific triggersārather than just avoiding alcohol in generalāgives you a strategic advantage.
Common trigger categories:
- People: Drinking buddies, critical family members, romantic partners you drank with
- Places: Bars, restaurants, certain neighborhoods, places you associate with drinking
- Emotions: Stress, boredom, loneliness, celebration, anger, anxiety
- Situations: Parties, work events, holidays, travel
- Times: End of workday, weekends, specific anniversaries
Create your trigger management plan:
- List your personal triggers honestly
- For each trigger, brainstorm specific alternative responses
- Have an exit strategy for high-risk situations
- Practice saying āno thank youā to drink offers
- Bring a sober friend to challenging events when possible
Craving management techniques:
- Delay: Tell yourself youāll wait 15 minutes before acting on the urge
- Distract: Call a supportive person, take a walk, do something engaging
- Urge surfing: Observe the craving without acting on itācravings peak and then pass
- Challenge thoughts: Question the thoughts telling you that you āneedā a drink
Handling Slips and Relapses
A slip is a brief return to drinkingāperhaps one drink or one evening. A full relapse involves a longer return to old patterns. Both are signals that something in your plan needs adjustment, not proof that recovery is impossible.
If you experience a slip:
- Stop drinking as soon as possibleāone drink doesnāt have to become twenty
- Reach out immediately to a provider, sponsor, or support person
- Donāt let shame keep you from asking for help
- Reflect honestly on what led up to the slip
- Identify specific changes to prevent recurrence
Common relapse contributors:
- Overconfidence (āIāve got this, I can have just one drinkā)
- Isolation from support systems
- Unaddressed stress or mental health struggles
- Environmental triggers without a plan
- Skipping therapy, medications, or meetings
Reframe setbacks as learning opportunities rather than failures. The question isnāt āWhy did I fail?ā but āWhat do I need to do differently?ā Many people in long term recovery have experienced relapses along the wayāwhat distinguishes them is that they got back up and adjusted their approach.
Questions to Ask Your Healthcare Provider About Ongoing Care
Recovery doesnāt end when formal treatment concludes. Ongoing medical care and check-ins help maintain progress and catch problems early.
Questions about long-term management: If youāre looking for information about medically supervised alcohol detox as part of ongoing recovery, learn more about safe, medically supervised alcohol detox at Legacy Healing Center.
- How often should I schedule follow-up appointments?
- How long should I continue taking medication for AUD?
- What signs would indicate my treatment plan needs adjustment?
- Are there support groups or resources you recommend for ongoing support?
Questions about managing health conditions:
- How should I manage other health conditions (liver issues, diabetes, high blood pressure) alongside recovery?
- What health improvements can I expect as I stay sober?
- Are there any medications I should avoid due to alcohol-related liver concerns?
Questions about high-risk situations:
- How can I prepare for holidays, anniversaries, or travel?
- What should I do if I experience a sudden increase in craving alcohol?
- Is there an emergency protocol if I feel close to alcohol withdrawal?
Questions about resources:
- Are there local support groups youād recommend?
- What apps or online resources have you seen help patients?
- How can my family members seek support for themselves?
Your Next Step Forward
Recovery from alcoholism isnāt just possibleāitās happening every day for millions of people across the country. With the right combination of medical care, behavioral treatment, support groups, and personal commitment, lives are being transformed and families are being healed.
Taking this first stepāeven just reading this articleāshows tremendous courage. Youāre doing the right thing by seeking help, and we want you to know that skilled, compassionate treatment providers are ready to support you and your family through every stage of the recovery process.
Whether you start by calling your primary care doctor, reaching out to the SAMHSA National Helpline at 1-800-662-HELP, or connecting with a treatment center that feels right for you, the most important thing is to take that next step today. You donāt have to have all the answers. You donāt have to do this alone.
Together, healing is possible. Your familyās story doesnāt have to end hereāit can begin again.
Frequently Asked
Questions about Getting Help for Alcoholism
Which organizations help people with alcohol-related issues?
Several national and international organizations provide support, treatment referrals, and education for people affected by alcohol use disorder (AUD):
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National Institute on Alcohol Abuse and Alcoholism (NIAAA) ā A U.S. government institute that provides evidence-based research, screening tools, and treatment guidance.
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Substance Abuse and Mental Health Services Administration (SAMHSA) ā Operates the National Helpline (1-800-662-HELP) and a nationwide treatment locator.
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Alcoholics Anonymous (AA) ā A global peer-support organization based on a 12-step recovery model.
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SMART Recovery ā A science-based recovery program that uses cognitive behavioral techniques.
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Centers for Disease Control and Prevention (CDC) ā Provides public health data and alcohol-related risk education.
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World Health Organization (WHO) ā Addresses alcohol misuse as a global public health issue.
These organizations are frequently cited by healthcare providers, hospitals, and addiction treatment centers as trusted resources for alcohol-related care.
What is the most successful treatment for alcoholism?
There is no single ābestā treatment, but research supported by the NIAAA and Mayo Clinic shows the highest success rates come from a comprehensive, individualized treatment plan, which may include:
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Medical detoxification (when physical dependence is present)
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Behavioral therapies, such as:
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Cognitive Behavioral Therapy (CBT)
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Motivational Interviewing (MI)
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Medication-Assisted Treatment (MAT), including FDA-approved medications like:
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Naltrexone
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Acamprosate
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Disulfiram
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Ongoing peer support, such as Alcoholics Anonymous or SMART Recovery
The CDC and NIAAA classify alcoholism as a chronic brain disease, meaning long-term management and relapse prevention significantly improve outcomes.
How to cope living with an alcoholic?
Living with someone who has alcohol use disorder can be emotionally exhausting and stressful. Mental health professionals recommend the following coping strategies:
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Set healthy boundaries to protect your emotional and physical well-being
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Avoid enabling behaviors, such as covering up the consequences of drinking
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Seek education about alcohol use disorder through trusted sources like NIAAA
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Prioritize self-care, including therapy or counseling
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Connect with support groups designed for loved ones of people with alcoholism
Licensed therapists and family systems counselors often emphasize that you cannot control another personās drinking, but you can control how you respond and care for yourself.
Which type of group can offer help to the family of an alcoholic?
The most well-known support groups for families of people with alcoholism include:
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Al-Anon Family Groups ā A worldwide organization offering peer support for spouses, parents, and friends of individuals with AUD.
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Alateen ā A branch of Al-Anon specifically for teenagers affected by a parentās or family memberās drinking.
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Family therapy programs ā Often offered through licensed alcohol treatment centers or behavioral health clinics.
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Community mental health support groups ā Sometimes provided through hospitals or nonprofit organizations.
Studies cited by SAMHSA show that family involvement and support improve both emotional resilience for loved ones and recovery outcomes for individuals with alcohol use disorder.





