Road to Recovery

Alcohol treatment and recovery step 1: Commit to stop drinking

Evaluating the costs and benefits of drinking

 

Alcohol treatment and recovery step 2: Set goals and prepare for change

• Get rid of temptations. Remove all alcohol, barware, and other drinking reminders from your home and office.
• Announce your goal. Let friends, family members, and co-workers know that you’re trying to stop drinking. If they drink, ask them to support your recovery by not doing so in front of you.
• Be upfront about your new limits. Make it clear that drinking will not be allowed in your home and that you may not be able to attend events where alcohol is being served.
• Avoid bad influences. Distance yourself from people who don’t support your efforts to stop drinking or respect the limits you’ve set. This may mean giving up certain friends and social connections.
• Learn from the past. Reflect on previous attempts to stop drinking. What worked? What didn’t? What can you do differently this time to avoid pitfalls?

• Set a drinking goal. Choose a limit for how much you will drink. Make sure your limit is not more than one drink a day if you’re a woman, or two drinks a day if you’re a man. Now write your drinking goal on a piece of paper. Put it where you can see it, such as on your refrigerator or bathroom mirror.
• Keep a "diary" of your drinking. To help you reach your goal, keep a "diary" of your drinking. For example, write down every time you have a drink for 1 week. Try to keep your diary for 3 or 4 weeks. This will show you how much you drink and when. You may be surprised. How different is your goal from the amount you drink now?
• Watch it at home. Keep a small amount or no alcohol at home. Don't keep temptations around.
• Drink slowly. When you drink, sip your drink slowly. Take a break of 1 hour between drinks. Drink soda, water, or juice after a drink with alcohol. Do not drink on an empty stomach! Eat food when you are drinking.
• Take a break from alcohol. Pick a day or two each week when you will not drink at all. Then, try to stop drinking for 1 week. Think about how you feel physically and emotionally on these days. When you succeed and feel better, you may find it easier to cut down for good.

Alcohol treatment and recovery step 3: Get sober safely

• Headache
• Shaking
• Sweating
• Nausea or vomiting
• Anxiety and restlessness
• Stomach cramps and diarrhea
• Trouble sleeping or concentrating
• Elevated heart rate and blood pressure

• severe vomiting
• confusion and disorientation
• fever
• hallucinations
• extreme agitation
• seizures or convulsions

Alcohol treatment and recovery step 4: Find new meaning in life

• Take care of yourself. To prevent mood swings and combat cravings, concentrate on eating right and getting plenty of sleep. Exercise is also key: it releases endorphins, relieves stress, and promotes emotional well-being.
• Build your support network. Surround yourself with positive influences and people who make you feel good about yourself. The more you’re invested in other people and your community, the more you have to lose—which will help you stay motivated and on the recovery track.
• Develop new activities and interests. Find new hobbies, volunteer activities, or work that gives you a sense of meaning and purpose. When you’re doing things you find fulfilling, you’ll feel better about yourself and drinking will hold less appeal.
• Continue treatment. Your chances of staying sober improve if you are participating in a support group like Alcoholics Anonymous, have a sponsor, or are involved in therapy or an outpatient treatment program.
• Deal with stress in a healthy way. Alcohol abuse is often a misguided attempt to manage stress. Find healthier ways to keep your stress level in check, such as exercising, meditating, or practicing breathing exercises or other relaxation techniques.

Alcohol treatment and recovery step 5: Plan for triggers and cravings

• Avoid the things that trigger your urge to drink. If certain people, places, or activities trigger a craving for alcohol, try to avoid them. This may mean making major changes to your social life, such as finding new things to do with your old drinking buddies—or even giving up those friends.
• Practice saying “no” to alcohol in social situations. No matter how much you try to avoid alcohol, there will probably be times where you’re offered a drink. Prepare ahead for how you’ll respond, with a firm, yet polite, “no thanks.”

• Talk to someone you trust: your sponsor, a supportive family member or friend, or someone from your faith community.
• Distract yourself until the urge passes. Go for a walk, listen to music, do some housecleaning, run an errand, or tackle a quick task.
• Remind yourself of your reasons for not drinking. When you’re craving alcohol, there’s a tendency to remember the positive effects of drinking and forget the negatives. Remind yourself that drinking won’t really make you feel better.
• Accept the urge and ride it out, instead of trying to fight it. This is known as “urge surfing.” Think of your craving as an ocean wave that will soon crest, break, and dissipate. When you ride out the craving, without trying to battle, judge, or ignore it, you’ll see that it passes more quickly than you’d think.

• Take an inventory of how you experience the craving. Do this by sitting in a comfortable chair with your feet flat on the floor and your hands in a comfortable position. Take a few deep breaths and focus your attention inward. Allow your attention to wander through your body. Notice where in your body you experience the craving and what the sensations are like. Notice each area where you experience the urge, and tell yourself what you are experiencing. For example, “My craving is in my mouth and nose and in my stomach.”
• Focus on one area where you are experiencing the urge. Notice the exact sensations in that area. For example, do you feel hot, cold, tingly, or numb? Are your muscles tense or relaxed? How large an area is involved? Notice the sensations and describe them to yourself. Notice the changes that occur in the sensation. “My mouth feels dry and parched. There is tension in my lips and tongue. I keep swallowing. As I exhale, I can imagine the smell and tingle of booze.”
• Repeat the focusing with each part of your body that experiences the craving. Describe to yourself the changes that occur in the sensations. Notice how the urge comes and goes. Many people, when they urge surf, notice that after a few minutes the craving has vanished. The purpose of this exercise, however, is not to make the craving go away but to experience the craving in a new way. If you practice urge surfing, you will become familiar with your cravings and learn how to ride them out until they go away naturally.

Alcohol treatment and recovery step 6: Get support

• Lean on close friends and family – Having the support of friends and family members is an invaluable asset in recovery. If you’re reluctant to turn to your loved ones because you’ve let them down before, consider going to couples counseling or family therapy.
• Build a sober social network – If your previous social life revolved around alcohol, you may need to make some new connections. It’s important to have sober friends who will support your recovery. Try taking a class, joining a church or a civic group, volunteering, or attending events in your community.
• Consider moving in to a sober living home – Sober living homes provide a safe, supportive place to live while you’re recovering from alcohol addiction. They are a good option if you don’t have a stable home or an alcohol-free living environment to go to.
• Make meetings a priority – Join a recovery support group and attend meetings regularly. Spending time with people who understand exactly what you’re going through can be very healing. You can also benefit from the shared experiences of the group members and learn what others have done to stay sober.

Alcohol treatment and recovery step 7: Getting started on treatment

• There’s no magic bullet or single treatment that works for everyone. Everyone’s needs are different, so it’s important that you find a program that feels right to you. Any alcohol addiction treatment program should be customized to your unique problems and situation.
• Treatment should address more than just your alcohol abuse. Addiction affects your whole life, including your relationships, career, health, and psychological well-being. Treatment success depends on examining the way alcohol abuse has impacted you and developing a new way of living.
• Seek treatment for any other medical or psychological issues you’re experiencing. Alcohol abuse frequently goes hand in hand with other mental health problems, including anxiety, depression, attention deficit disorder, and bipolar disorder. In many cases, the drinking is an attempt to self-medicate. When these problems co-occur, recovery depends on treating them both.
• Commitment and follow-through are key. Recovering from alcohol addiction is not a quick and easy process. In general, the longer and more intense the alcohol use, the longer and more intense the treatment you’ll need. But regardless of the treatment program’s length in weeks or months, long-term follow-up care is crucial to recovery.
• There are many places to turn for help. Not everybody requires medically supervised detox or an extended stint in rehab. The level of care you need depends on your age, alcohol use history, and other medical or psychiatric conditions. In addition to doctors and psychologists, many clergy members, social workers, and counselors offer addiction treatment services.

• Get rid of the alcohol and get away from the setting where you lapsed.
• Remind yourself that one drink or a brief lapse doesn’t have to turn into a full-blown relapse.
• Don’t let feelings of guilt, blame, or shame keep you from getting back on track.
• Call your sponsor, counselor, or a supportive friend right away for help.