Sober for Good: New Solutions for Drinking Problems -- Advice from Those Who Have Succeeded

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1 A New Look at How People Really Solve Drinking Problems If your best friend turned to you for advice about a drinking problem, what would you say? The automatic reaction of most people, nonprofessionals and treatment specialists alike, would likely be “Get yourself to AA.” But is this truly the best response for that individual — is it the only solution? We’ve all heard so many things about recovery, but are they really true?
To find out how people whose lives have been troubled by alcohol have overcome their difficulties, I decided to turn to the foremost experts — those who have actually done it, people who have mastered their former alcohol problems in different ways.* I wanted to determine exactly what these “masters” did — what specific strategies they used — to get sober and stay sober. My call for information was answered by hundreds whose drinking at its worst ranged from what many of us might define as a social drinker’s quota to more than a fifth of hard liquor a day. (All of the 222 masters completed a seven-page questionnaire about their drinking pasts, the turning points, how they resolved their alcohol problems, and how they got on with their lives.) Who Are the Masters?
The masters came to me through postage-paid flyers distributed in public places across the country, advertisements and listings in newspapers and special-interest magazines, postings on the Internet, and recovery groups. Some masters knew me or had heard about my work through a friend.
They come from all walks of life — they’re attorneys, maintenance workers, former topless dancers, college professors, physicians,schoolteachers, homemakers, engineers, judges, former bartenders, current bartenders, nurses, and journalists. They’re Christians and atheists, gay and straight, people from their twenties to their eighties who got sober anywhere from their teens through their fifties and sixties. They include husbands and wives who got sober together as well as a mother and her two grown children who all quit on their own but at different times. A quarter of them are recovery group leaders, mental health professionals, and/or chemical dependency counselors, so they know sobriety from both ends, as former problem drinkers and as experienced helpers of those who are still struggling. Gender-wise, there is close to an even split: 54 percent of the masters are men and 46 percent are women.
Along with stories of people who were rendered destitute because of their drinking, I wanted to include the experiences of people with mild or moderate alcohol problems, because little help is available for them, despite the fact that they are thought to outnumber stereotypical brown-bag “alcoholics” by three or four to one. Therefore, the stories of the masters’ drinking days vary from sagas of high-functioning drinkers who were able to raise families and move upward professionally despite their alcohol abuse to those of hard-core “drunks” who describe loss of jobs, health, children, and dignity. The masters’ drinking at its worst ranged from a reported three to five daily drinks for some people up to two daily quarts of vodka for one man.
At the lower end of the scale, Janet C. (who believes she was “chiefly mentally addicted” to alcohol but considers herself to be an “alcoholic” nonetheless) typically had two or three single-shot martinis before dinner and one or two scotches with soda afterward — surely beyond healthy drinking, but not what most people think of when they picture the stereotypical “alcoholic.” Although she felt that her drinking kept her from being a good parent to her two teenagers, she was always responsible enough to know that she “didn’t dare drive” them around in the evenings.
At the other extreme, the two-quart-a-day vodka drinker, George M., attributes all of the following to his drinking: “My wife left me; I lost my career, my possessions, my teeth, and much of my eyesight; my friends disappeared. I lived in a spare bedroom in my mother’s house, soiled the bed often, had drunk driving and disorderly conduct arrests, and was suicidal.” (With the help of AA, he has been sober for more than five years now.) Like George, a number of other masters once abused drugs such as marijuana and cocaine in addition to alcohol. For all but five of them, alcohol was the drug of choice.
Nearly all of the masters have been continuously sober for five or more years;* the average length of sobriety for the entire group is just over thirteen years. Two thirds of them have at least a decade of sobriety.
Sobriety Means Different Things to Different People For most of the masters, sobriety is synonymous with abstinence. For the vast majority, abstinence turns out to be the best policy: nine out of ten are totally abstinent.
Others have a small amount of alcohol on very rare occasions - - sssssay, when making a toast at a wedding reception. About one out of ten of the masters are near-abstinent, occasional, or moderate drinkers, which challenges the notion that one sip of alcohol will lead you back to full-blown “alcoholism.” For serious problem drinkers and those who are already contentedly abstinent, however, consuming any alcohol can be a risky proposition.
While most people think of sobriety as total abstinence, Webster’s Tenth Collegiate Dictionary defines “sober” not as “abstinent” but as “1 a: sparing in the use of food and drink: abstemious. b: not addicted to intoxicating drink. c: not drunk . . . 4. marked by temperance, moderation, or seriousness.” The masters whom I call sober, then, are those who have resolved their alcohol problems and gotten on top of their drinking, usually through abstinence but sometimes through moderate or occasional drinking.
I sought the masters’ help in answering such questions as these: How important is it to admit to yourself and others that you are an “alcoholic”?
Can you recover — and stay recovered — without going to a recovery group?
If you get sober with the help of a recovery group, do you have to keep going forever?
What about treatment at places like the Betty Ford Center and hospital alcohol programs — is it necessary?
Where do you turn if you have issues about your drinking but don’t really feel you’re an “alcoholic”?
Is it true that you have to “hit bottom” in order to become motivated to deal with a drinking problem?
Before taking action, are most people “in denial” about their drinking problems?
Do you wake up one morning and say, “That’s it: I quit”? If so, what gets you to that point, and does everything else in life just kind of fall into place afterward?
Is it helpful to see yourself as forever recovering, or can you at some point think of yourself as recovered or cured?
Is it true that having just a small amount of alcohol will send you right back to where you left off in your drinking, or is having an occasional drink a possibility for some people?
What if you don’t have strong religious or spiritual beliefs, such as faith in a “higher power” — can you still get sober?
Do you eventually lose your longing for alcohol, or do you pine for it forever?
I had some of my own thoughts about these matters, since over the years I have coped with and resolved my own issues with drinking. But I wanted to find out what others who once struggled with alcohol had to say. What I learned from these masters is striking, and much of what they relate flies in the face of what we’ve been led to believe about “alcoholism.&#