The philosophy of abstinence only has been around for a long time, but a shift is starting to occur and it may be for the better. Among all people who have a problem with drinking, most of them have not yet crossed the line into alcohol dependence. If these people can be reached with tools to help them change their drinking from a problem to responsible moderation, the incidence of alcoholism, and all the problems that go along with the disease, could be reduced. When your drinking is under control, you may have the internal bandwidth to accept the professional psychological support that can help you develop healthier ways of coping. You could also get help to better manage https://plan-international-dev.altis.cloud/?p=18916 your emotions, address past trauma, and understand how anxiety, depression, or other emotional difficulties have powered your alcohol abuse. Moderation offers a path to sobriety without completely eliminating drinking.
Abstinence vs Drinking in Moderation

Many individuals with an alcohol use disorder that wish to change their drinking, however, have a goal of moderation – sometimes referred to as “harm reduction” – rather than complete abstinence. Indeed, moderation appears to be a viable pathway to alcohol use disorder remission for some. Identifying who will be most likely to respond to these moderation-focused alcohol treatments will moderation vs abstinence be key to clinical recommendations and policies related to moderation versus abstinence.
Quality of life and functioning
Have found myself stuck in the dilemma of whether to allow myself a few drinks a month or stick to total sobriety. I know an extended period of abstinence is usually necessary (one year minimum is what I’ve heard). There’s not much talk here about a harm reduction approach that aims at minimizing drinking and the shame spiral when it does happen. I know any amount of alcohol is too much of a risk for folks with certain types of addiction, but wondering how feasible moderation really is for most people. By combining abstinence and moderation techniques, you can create a dynamic, multifaceted treatment plan that evolves with your needs and circumstances. This flexibility can be particularly beneficial marijuana addiction for individuals with co-occurring mental health disorders, allowing you to adjust your recovery strategy as needed to address both your addiction and mental health needs effectively.
. Correlates of substance use status

If you don’t consider yourself an alcoholic or don’t feel comfortable labeling yourself one, practicing moderation helps you avoid having that discussion when you’re not in the mood. You don’t have to attend AA meetings and introduce yourself as an alcoholic, and you don’t have to answer questions at parties or social gatherings when people notice you aren’t drinking. Many people think that abstinence is the only solution for problem drinking. Abstinence means giving up alcohol completely, and it’s the foundation of traditional treatment options like AA and most inpatient rehabs. But alcohol misuse is not a one-size-fits all problem, and neither is its solution.
- Although not quite reaching statistical significance (i.e., less reliable results due to the study’s smaller sample), the High group had a greater reported family history of drinking and other drug problems (5 vs. 5 for Low and Moderate vs. 8 for High).
- Regardless of your path, working with a physician and therapist can provide answers, reassurance, and guidance throughout the process.
- One study found that among those who did not complete an abstinence-based (12-Step) SUD treatment program, ongoing/relapse to substance use was the most frequently-endorsed reason for leaving treatment early (Laudet, Stanick, & Sands, 2009).
- Sobriety Centers of New Hampshire provides a Partial Hospitalization Program (PHP) in New Hampshire for those who want treatment and still want a life at home.
- They will not likely be able to put down the drink for an extended period without professional intervention.
Moderation: Can Controlled Consumption Work?
The consequences of using should be remembered, not with a guilty conscience, but in a realistic portrayal of why you have chosen sobriety. Also to be remembered are the experiences and feelings that come from abstinence. Nonabstinence approaches to SUD treatment have a complex and contentious history, and significant social and political barriers have impeded research and implementation of alternatives to abstinence-focused treatment.
- A lapse is a brief return to drinking or using drugs, but the individual quickly stops again.
- By examining both sides of the argument and providing expert insights, we aim to shed light on whether learning to drink in moderation could be a viable option for those with AUD.
- Unfortunately, there has been little empirical research evaluating this approach among individuals with DUD; evidence of effectiveness comes primarily from observational research.
- Harm reduction therapy has also been applied in group format, mirroring the approach and components of individual harm reduction psychotherapy but with added focus on building social support and receiving feedback and advice from peers (Little, 2006; Little & Franskoviak, 2010).
- Choosing between abstinence and moderation in addiction recovery is a highly personal decision that requires careful consideration of your unique circumstances, needs, and preferences.
Benefits of Abstinence vs. Moderation
If you want to succeed at moderation, then self control and having clear and strict rules for yourself around your use are essential. If you or someone you know is struggling with a drinking problem, don’t wait any longer. Countless treatment options can help them conquer their addiction and manage any withdrawal symptoms. It’s essential to have the support and supervision of drug addiction specialists by your side.
Moderation management vs abstinence?
However, what should often be remembered is the experiences and feelings that come from self-control. The balance of the two experiences has been demonstrated to be a valuable asset in moderation management. Treatment providers are available 24/7 to answer your questions about rehab, whether it’s for you or a loved one.

