Alternatives to AA
Contrary to popular belief, AA or Twelve-Step-based treatments are not actually evidence-based approaches to Substance Use Disorder treatment. In fact, a 2006 review of studies going back to the 1960s found that “no experimental studies unequivocally demonstrated the effectiveness of AA approaches for reducing alcohol dependence or problems.” Though these methods work for some they do not work for all. Read more about the research.
Yet, currently at least 80% of all rehabs rely on these treatments as the foundation for their centers, with sobriety as their ultimate goal. This means that going to rehab, even most programs that claim to be non-AA or non-Twelve-Step will most likely mean that you will encounter a very similar type of program, with its basis in outdated methods. Watch John Oliver’s hilarious (and truthful) breakdown of the rehab industry. If you’re looking for help, there are other alternatives out there. Please note that if you are in crisis and need immediate medical or psychiatric care, please call 911. |
Why Sobriety Shouldn't Be The Only Option
Find a Free Alternative Support Group
Not all groups related to addiction kick off each meeting by saying, “Hi my name is X, and I’m an alcoholic.” There are also other free groups out there that have alternative or evidence-based philosophies.
A support group provides a space for people who are going through similar experiences to come together and share their feelings, coping strategies, or resources. Typically these groups are free, and run by nonprofit organizations or clinics. Many people appreciate this experience because it helps to hear other people share their experiences. It helps you understand that you are not alone, provides a space where you can talk honestly and openly about your feelings, and allows you to get support and feedback from the group. And if you don’t feel like sharing, you can still get a lot out of a group by listening to others’ stories.
It’s important to keep in mind that every group is very different, depending on when and where it’s located, who’s facilitating it, and who attends each session. You may find as you go multiple times that the group can evolve or change. If you don’t like the group initially, you might discover that it changes over time. Or you can look for a group in a different part of town or at a different time of day.
Here are some resources:
SMART Recovery
SMART Recovery is an abstinence-based, not-for-profit organization with a sensible self-help program for people having problems with drinking and using. It includes many ideas and techniques to help you change your life from one that is self-destructive and unhappy to one that is constructive and satisfying. SMART Recovery is not a spin-off of Alcoholics Anonymous. No one will label you an “alcoholic”, an “addict” or “diseased” nor “powerless”, and if you do not believe in a religion or spirituality, that’s fine, too. We teach common sense self-help procedures designed to empower you to abstain and to develop a more positive lifestyle. When you succeed at following our approach, you may graduate from the program, or you may stay around to help others.
If you’re in the Los Angeles area, Evo also hosts a SMART Recovery group on Saturdays, 10:30 to 12 PM. Learn more about this group.
Moderation Management
Moderation Management (MM) is a behavioral change program and national support group network for people concerned about their drinking and who desire to make positive lifestyle changes. MM empowers individuals to accept personal responsibility for choosing and maintaining their own path, whether moderation or abstinence. MM promotes early self-recognition of risky drinking behavior, when moderate drinking is a more easily achievable goal. MM is run by lay members who came to the organization to resolve personal issues and stayed to help others. It is an evidence-based program, listed on SAMHSA’s National Registry of Evidence-based Programs and Practices (NREPP).
Women for Sobriety
Women for Sobriety (WFS) is an organization whose purpose is to help all women find their individual path to recovery through discovery of self, gained by sharing experiences, hopes and encouragement with other women in similar circumstances. We are an abstinence-based self-help program for women facing issues of alcohol or drug addiction. Our “New Life” Program acknowledges the very special needs women have in recovery – the need to nurture feelings of self-value and self-worth and the desire to discard feelings of guilt, shame, and humiliation.
Not all groups related to addiction kick off each meeting by saying, “Hi my name is X, and I’m an alcoholic.” There are also other free groups out there that have alternative or evidence-based philosophies.
A support group provides a space for people who are going through similar experiences to come together and share their feelings, coping strategies, or resources. Typically these groups are free, and run by nonprofit organizations or clinics. Many people appreciate this experience because it helps to hear other people share their experiences. It helps you understand that you are not alone, provides a space where you can talk honestly and openly about your feelings, and allows you to get support and feedback from the group. And if you don’t feel like sharing, you can still get a lot out of a group by listening to others’ stories.
It’s important to keep in mind that every group is very different, depending on when and where it’s located, who’s facilitating it, and who attends each session. You may find as you go multiple times that the group can evolve or change. If you don’t like the group initially, you might discover that it changes over time. Or you can look for a group in a different part of town or at a different time of day.
Here are some resources:
SMART Recovery
SMART Recovery is an abstinence-based, not-for-profit organization with a sensible self-help program for people having problems with drinking and using. It includes many ideas and techniques to help you change your life from one that is self-destructive and unhappy to one that is constructive and satisfying. SMART Recovery is not a spin-off of Alcoholics Anonymous. No one will label you an “alcoholic”, an “addict” or “diseased” nor “powerless”, and if you do not believe in a religion or spirituality, that’s fine, too. We teach common sense self-help procedures designed to empower you to abstain and to develop a more positive lifestyle. When you succeed at following our approach, you may graduate from the program, or you may stay around to help others.
If you’re in the Los Angeles area, Evo also hosts a SMART Recovery group on Saturdays, 10:30 to 12 PM. Learn more about this group.
Moderation Management
Moderation Management (MM) is a behavioral change program and national support group network for people concerned about their drinking and who desire to make positive lifestyle changes. MM empowers individuals to accept personal responsibility for choosing and maintaining their own path, whether moderation or abstinence. MM promotes early self-recognition of risky drinking behavior, when moderate drinking is a more easily achievable goal. MM is run by lay members who came to the organization to resolve personal issues and stayed to help others. It is an evidence-based program, listed on SAMHSA’s National Registry of Evidence-based Programs and Practices (NREPP).
Women for Sobriety
Women for Sobriety (WFS) is an organization whose purpose is to help all women find their individual path to recovery through discovery of self, gained by sharing experiences, hopes and encouragement with other women in similar circumstances. We are an abstinence-based self-help program for women facing issues of alcohol or drug addiction. Our “New Life” Program acknowledges the very special needs women have in recovery – the need to nurture feelings of self-value and self-worth and the desire to discard feelings of guilt, shame, and humiliation.
Free or Low-Cost Counseling Centers
Southern California Counseling Center
Miracle Mile Community Practice
Maple Center
Relational Center
Airport Marina Counseling Services
Los Angeles LGBT Center
University-Affiliated Counseling Centers
If you’re a student, you likely have services available on campus.
Some Los Angeles college counseling centers include:
Antioch University – AU Counseling Center
East Los Angeles Community College – Student Health Center
Los Angeles City College – Health & Wellness Center
Loyola Marymount University – Student Psychological Services
Mount St. Mary’s University – Counseling and Psychological Services
Pasadena City College – Personal Counseling
Pepperdine Counseling Center
Pierce College Student Health Center
Santa Monica College – Center for Wellness and Wellbeing
UCLA Counseling and Psychological Services (CAPS)
University of Southern California (USC) – Counseling Services
West Los Angeles College – Student Health & Wellness Center
Private Practice Therapists
And if you are looking for an individual therapist or you aren’t based in Southern California, Psychology Today has an excellent tool that can help you find a therapist that meets your needs wherever you are. Some therapists offer sliding scale services.
Southern California Counseling Center
Miracle Mile Community Practice
Maple Center
Relational Center
Airport Marina Counseling Services
Los Angeles LGBT Center
University-Affiliated Counseling Centers
If you’re a student, you likely have services available on campus.
Some Los Angeles college counseling centers include:
Antioch University – AU Counseling Center
East Los Angeles Community College – Student Health Center
Los Angeles City College – Health & Wellness Center
Loyola Marymount University – Student Psychological Services
Mount St. Mary’s University – Counseling and Psychological Services
Pasadena City College – Personal Counseling
Pepperdine Counseling Center
Pierce College Student Health Center
Santa Monica College – Center for Wellness and Wellbeing
UCLA Counseling and Psychological Services (CAPS)
University of Southern California (USC) – Counseling Services
West Los Angeles College – Student Health & Wellness Center
Private Practice Therapists
And if you are looking for an individual therapist or you aren’t based in Southern California, Psychology Today has an excellent tool that can help you find a therapist that meets your needs wherever you are. Some therapists offer sliding scale services.