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(The Columbia report notes that there may be additional doctors who have a subspecialty in addiction.) Most treatment providers carry the credential of addiction counselor or substance-abuse counselor, for which many states require little more than a high-school diploma or a GED. The report stated: “The vast majority of people in need of addiction treatment do not receive anything that approximates evidence-based care.”Alcoholics Anonymous was established in 1935, when knowledge of the brain was in its infancy.

It offers a single path to recovery: lifelong abstinence from alcohol.

He’s also a worrier—a big one—who for years used alcohol to soothe his anxiety. He favored gin and whiskey but drank whatever he thought his parents would miss the least.

He discovered beer, too, and loved the earthy, bitter taste on his tongue when he took his first cold sip.

Hospitals, outpatient clinics, and rehab centers use the 12 steps as the basis for treatment.Each time he got sober, he’d spend months white-knuckling his days in court and his nights at home.Evening would fall and his heart would race as he thought ahead to another sleepless night.But although few people seem to realize it, there are alternatives, including prescription drugs and therapies that aim to help patients learn to drink in moderation.

Unlike Alcoholics Anonymous, these methods are based on modern science and have been proved, in randomized, controlled studies, to work. G., it took years of trying to “work the program,” pulling himself back onto the wagon only to fall off again, before he finally realized that Alcoholics Anonymous was not his only, or even his best, hope for recovery. He’s a fast talker and has the lean, sinewy build of a distance runner.



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