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Alcohol Recovery Steps and Options

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Unhappy alcoholic man having his first recovery session with his therapist

Published: July 12, 2024

Reviewed by Matthew N. Parker, MD

Alcohol use disorder (AUD) is a condition that countless Americans face every day. It can be incredibly hazardous to your health and even derail other parts of your life. However, recovery is possible with professional help and proper treatment.

Alcohol dependence recovery is immensely important and can prevent long-term damage, permanent health consequences, and even death. It is a long and challenging process, but the sooner you take the first step toward recovery the better.

Scroll on to learn more about alcohol recovery including types of treatment, how to navigate recovery, and more.

Recognizing the Need for Recovery

The first step in any recovery journey is recognizing the need for professional intervention and treatment. Like any other substance use disorder (SUD), AUD isn’t always easy to identify in oneself or others. That being said, understanding the signs and symptoms of alcohol dependence can make this task much easier.

First and foremost, it’s important to have a grasp on what AUD actually is. Defined by the Diagnostics and Statistical Manual of Mental Disorders (DSM-5) as a condition that causes the inability to control or stop drinking alcohol. AUD is an official diagnosis and describes what many people often call alcoholism in casual conversation.

There are many signs and symptoms of alcohol dependence, including physical, mental, and behavioral effects.

Physical symptoms include:

  • Confusion
  • Nausea
  • Vomiting
  • Dilated pupils
  • Sweating
  • Shaking
  • Seizures
  • Nightmares
  • Insomnia
  • Hallucinations
  • Vision problems
  • Loss of appetite

Mental symptoms include:

  • Anxiety
  • Depression
  • Mood swings
  • Paranoia
  • Irritability
  • Thinking about alcohol frequently
  • Aggression
  • Alcohol cravings

Behavioral symptoms include:

  • Neglecting responsibilities
  • Skipping work
  • Skipping school
  • Drinking alcohol alone
  • Drinking more than usual/heavy drinking
  • Isolation
  • Drunk driving
  • Planning your day around drinking
  • Risky behaviors

There’s no precise time you should wait to seek professional help. If you notice any of these signs and symptoms in yourself or a loved one, seeking a medical evaluation is always a good idea. The sooner you can catch AUD the better. If you notice a sudden increase in your alcohol consumption, the amount of time you spend drinking, or catch yourself thinking about alcohol consistently, you should seek professional help as soon as possible.

Seeking Professional Help

Once you’ve determined it’s time for you or someone you know to seek professional help for their alcohol dependence, it’s important to understand what treatment will look like and what kind of professionals you should reach out to.

Recovery is a complex process and can involve a multifaceted approach that requires the support of many kinds of professionals. You’ll want to find support for both your physical and mental health via medical professionals, therapists, and addiction specialists.

Doctors can help support you during your recovery journey by performing a medical evaluation for AUD diagnosis, helping you find treatment programs, and helping manage medications you may be prescribed during treatment.

Therapists are also very important in the alcohol dependence recovery journey. Therapists can help address any co-occurring mental illnesses, help you work through any trauma or other mental health problems, and help you learn new coping mechanisms.

Lastly, addiction specialists are another type of medical professional you may want to rely on during your recovery. Addiction specialists are specially trained to treat and manage addictions like alcohol dependence (previously referred to as alcohol addiction) and can help build your treatment plan and goals.

Detoxification

Detoxification or detox services are a very common treatment method offered at the beginning of a recovery program. Detox services are designed to make the process of detoxing, or your body processing any remaining alcohol, less dangerous and more comfortable.

When it comes to alcohol dependence, trying to stop drinking on your own can be very difficult and incredibly dangerous. This is primarily due to alcohol withdrawal symptoms, which are your body’s reaction to a sudden reduction or cessation of alcohol consumption after prolonged alcohol misuse.

During a detox service, your care team will monitor your vitals, administer any necessary treatments or medications, and help you manage withdrawal symptoms and cravings. It is always advised to seek a professional detox service rather than detoxing on your own.

Therapy and Counseling

Therapy and counseling are a big part of recovery for many people with alcohol dependence. They can help address any psychological challenges that may be impacting your recovery or exacerbating your AUD.

There are many types of therapy used in alcohol recovery including behavioral therapy, family therapy, and even alternative therapies. Behavioral therapy is a kind of talk therapy that focuses on reframing thought patterns and changing behaviors that contribute to alcohol dependence. In alcohol treatment, common behavioral therapies include cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and motivational interviewing.

Family therapy is another type of talk therapy, but as the name suggests, it involves the family members of the individual with alcohol dependence. This is a good time to strengthen any familial bonds that have been weakened due to the individual’s alcohol problems.

As for alternative therapies, these can run the gamut. However, some common alternative therapies are art therapy, music therapy, and equine therapy. For some people, partaking in alternative therapy methods while receiving other treatment services can be immensely helpful.

Counseling, on the other hand, is a treatment service that is offered in both group and individual settings. Counseling is similar to therapy but is more of an opportunity for individuals to express any emotions or thoughts during recovery. This can include goals, fears, or even strategies they’re using. Group counseling can help build a support network and create a sense of camaraderie.

Medication-Assisted Treatment (MAT)

MAT is an evidence-based treatment service that is particularly successful in treating AUD. Essentially, MAT uses specific medications to treat alcohol dependence and encourage long-lasting recovery.

The most common medications used to treat AUD include naltrexone, acamprosate, and disulfiram. They all work in different ways to treat alcohol dependence.

  1. Naltrexone: Naltrexone works by blocking endorphin receptors, reducing pleasurable feelings associated with drinking and reducing cravings.
  2. Acamprosate: Acamprosate rebalances the neurotransmitters that are affected by alcohol misuse, reducing cravings and urges to drink.
  3. Disulfiram: Disulfiram works by blocking the breakdown of alcohol in your body, creating extremely unpleasant side effects when you drink, and discouraging alcohol consumption.

MAT is a long-term treatment, usually lasting at least a few months and often extending to a year or longer. During this time, your healthcare provider will evaluate your dosage frequently to determine if it’s effective or needs to be adjusted.

Though MAT is very effective in itself, it is particularly effective when used in combination with therapy. By addressing the physical and psychological sides of dependence simultaneously, you are better prepared for long-lasting recovery.

Building a Support System

In addition to getting professional treatment, it is of the utmost importance to have a support system to rely on throughout your recovery journey. This can look different for everyone, but some common support system methods are support groups, sponsors or mentors, and friends and family.

Many people with alcohol dependence choose to join support groups or 12-step programs like Alcoholics Anonymous (AA, Al-Anon) or SMART Recovery. Both are nationwide peer support programs for people with SUDs. These are a great place to make new connections and create a support system that offers a sense of accountability. Support groups and 12-step meetings are also fantastic places to find sponsors or mentors who can provide guidance throughout your recovery.

Additionally, you may find recovery support in your friends or family, too. Many people find relying on their loved ones during recovery to be very helpful. You may even try family therapy to encourage bond-building and offer mutual support.

Developing Coping Strategies

Many people with alcohol dependence use alcohol as a coping mechanism, which only exacerbates the issue. Consequently, while on your recovery journey, it’s very important to learn new, healthy coping strategies to help you manage stress, triggers, and cravings.

First, it’s vital that you become aware of what your triggers are and what high-risk situations may tempt you to drink. This will look different for everyone.

From there, you and your care team can devise a plan for coping in these situations. This may involve mindfulness and relaxation techniques such as meditation, breathing techniques, or even yoga.

Lifestyle Changes

During your recovery, it’s important to make lifestyle changes that support your recovery goals. Living a healthy lifestyle can make recovery less overwhelming and encourage long-lasting sobriety.

Lifestyle changes will differ from person to person, but some basics include exercising, practicing good nutrition, and getting enough sleep. These basic changes can make all the difference.

Other changes you can make include taking up new hobbies and interests that help regulate your mental health and keep you busy. This can be anything, so long as it is healthy, but some common hobbies include gardening, painting, or hiking.

Ongoing Recovery and Maintenance

Recovery is not a linear process, so it’s important to remember it is a long-term journey that requires regular maintenance.

Even after completing a treatment program, it’s important to continue any services you find especially helpful. This is often called aftercare and can include things like support groups, regular therapy sessions, or temporarily moving into sober housing.

Make sure to also check in with your providers to evaluate progress and readjust your recovery plan as needed. They can also help you create relapse prevention strategies to practice after your treatment program.

Options for Specialized Recovery Programs

In addition to standard recovery programs like inpatient and outpatient programs, there are also specialized programs that offer treatment for specific populations or demographics with unique needs.

Common specialized programs include:

Some treatment centers exclusively offer specialized programs while other treatment facilities offer specialized programs on top of standard programs.

Benefits of Long-Term Recovery

Alcohol recovery has incredible benefits, some of which you may not even be aware of.

Benefits of long-term recovery include:

  • Improved physical health
  • Improved mental health
  • Improved behavioral health
  • Reduced risk of alcohol overdose
  • Reduced risk of death due to alcohol
  • Improved overall well-being
  • Improved financial health
  • Improved relationships
  • New friendships and connections
  • New hobbies
  • Increased productivity
  • Improved quality of life
  • Improved work performance

Challenges and How to Overcome Them

The recovery process for alcohol dependence is no simple feat. It is very challenging and can be overwhelming at times, not to mention the fact that it is not linear.

Challenges often come up during recovery, but knowing how to overcome them can make all the difference. You may feel discouraged and alone, face triggers or stressors in your day-to-day life, or even experience relapse during your journey. This is all normal. Know that challenges in alcohol recovery are part of the process and you are equipped to handle them.

Some of the best ways to overcome challenges during recovery are to have a good support system, be honest with your treatment providers, practice healthy coping mechanisms, use relapse prevention strategies, and know when to get help.

Frequently Asked Questions

Which is considered the most effective treatment for alcoholism?

The most effective alcoholism treatment varies between individuals based on the extent of their dependence and their needs. That being said, medication-assisted treatment in combination with therapy has shown very high rates of efficacy.

Which behavior is most likely to indicate alcohol abuse?

Many behaviors indicate alcohol misuse. These can include sudden increases in alcohol intake, drinking alone, isolating oneself, or engaging in risky or uncharacteristic behaviors.

Which mental disorder is most commonly comorbid with alcoholism?

Several mental health conditions co-occur with alcoholism. These include depression, anxiety, post-traumatic stress disorder (PTSD), bipolar disorder, and panic disorder.

Find Alcohol Recovery Services Near You

Alcohol recovery is a challenging, but immensely rewarding process that can turn your life around for the better. There are many treatment options you may choose to pursue and obstacles you may encounter, but with the right support, recovery is possible.

Ready to take the first step? Give our phone number a call today.

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