Alcoholism: Recovery Or Lifelong Battle?

Alcoholism is a complex condition that has been recognised as an illness by the American Medical Association. Those struggling with alcoholism often refer to themselves as recovering alcoholics, indicating a constant battle against the disease. The term recovered alcoholic is more controversial within the recovery community, with some believing that one can never truly be cured of alcoholism. However, others argue that recovery is possible through a spiritual transformation and a release from the obsession to drink. This debate highlights the nuanced differences in perspectives on alcoholism and recovery, with both sides striving for the common goal of sobriety and a better life.

Alcohol Use Disorder (AUD)

There is no cure for AUD, and once an alcoholic starts drinking, they will be unable to stop. When they do stop drinking, the craving for alcohol will remain, and they will likely drink again. This is known as the phenomenon of craving, where a chronic alcoholic will drink more than intended and will have little control over their consumption.

However, recovery from AUD is possible. Recovery is a process through which an individual pursues both remission from AUD and cessation from heavy drinking. An individual may be considered "recovered" if both remission from AUD and cessation from heavy drinking are achieved and maintained over time. This recovery is often marked by the fulfilment of basic needs, improvements in social support, and enhancements in physical and mental health.

There is a distinction between being "in recovery" and being "recovered". When one says "recovering", they are still in a state of fighting alcoholism. They may no longer be drinking, but the effects of AUD are still present, and they are constantly vigilant of relapsing. On the other hand, being "recovered" means that the obsession with drinking has been lifted, and the individual is free from the desire to drink.

Treatment for AUD includes medication, such as naltrexone and acamprosate, which are approved by the U.S. Food & Drug Administration. Support groups can also be beneficial, providing individuals with AUD a community of people who understand their situation. Exercise is another way to manage stress and cravings, and it is important for individuals to know their triggers to help prevent relapse.

Craving phenomenon

Craving is a subjective motivational state in which an individual experiences an intense urge to engage in a particular behaviour, in this case, drinking alcohol. It is a dynamic neurocognitive emotional–motivational response to a wide range of cues, from internal to external environments. Craving is a complex phenomenon that can be investigated in relation to regional, small-scale networks, large-scale networks, and brain states.

The term "craving" is often used in assessments of addiction, with individuals asked to rate their level of craving. However, the term "craving" itself is not always used, with other terms such as desire, want, urge, or need being used instead. Craving assessments often focus on the strength of the craving, rather than the frequency or duration of craving bouts.

Craving is considered one of the main driving forces behind drug-taking behaviours. It is a key aspect of substance use disorder, which is characterised by persistent drug-seeking and drug-taking behaviours despite significant negative consequences.

For those struggling with alcoholism, craving can be a powerful force. When a chronic alcoholic takes a drink, they can set off the phenomenon of craving, leading them to drink more than intended and resulting in a loss of control. This is due to the physical and mental obsession associated with alcoholism, where the body is always allergic to alcohol and will always want more.

While some may disagree, believing that a true recovery from alcoholism is not possible, others argue that recovery is achievable through a spiritual experience that transforms the mind, as outlined in the book "Alcoholics Anonymous". This transformation allows individuals to be free from the desire to drink, no longer needing to fight constantly to stay sober.

Recovery vs. recovered

The terms "recovering" and "recovered" alcoholic are often used interchangeably, but there is a significant difference between the two. "Recovering" implies that the person is still actively struggling with alcoholism and is in the process of getting better. It indicates that they are constantly fighting their addiction and may still be experiencing symptoms of alcohol use disorder (AUD). On the other hand, "recovered" suggests that the person is no longer struggling and has achieved remission from AUD and cessation from heavy drinking. They are no longer obsessed with drinking and have transformed their minds, often through a spiritual experience.

The distinction between "recovering" and "recovered" is important in the world of Alcoholics Anonymous (AA). Some AA members prefer to identify as "recovering alcoholics" because they believe that alcoholism is a lifelong illness without a cure. They argue that once an alcoholic, always an alcoholic, and that relapse is always a possibility. By saying they are "recovering," they acknowledge that their sobriety is an ongoing journey that requires constant vigilance.

Others, however, choose to identify as "recovered alcoholics." They believe that they have overcome their addiction and are no longer defined by it. For them, saying they are "recovered" means that they are no longer obsessed with drinking and have found freedom from their addiction. They may attribute their recovery to a spiritual transformation or a personality change, as described in the "Big Book" of AA.

It's important to note that everyone's journey is unique, and there is no one-size-fits-all approach to recovery. Some people may prefer to identify as "in recovery" to emphasize their ongoing progress and vigilance. Others may choose to see themselves as "recovered" to embrace their newfound freedom and rebirth. Ultimately, the choice of terminology depends on the individual's beliefs, experiences, and what helps them maintain their sobriety.

While the terms "recovering" and "recovered" may seem like a matter of semantics, they represent two different philosophies within the recovery community. It's a nuanced debate that shapes how individuals view their relationship with alcohol and their journey towards healing. Whether one identifies as "recovering" or "recovered," the important thing is that they are taking steps towards a healthier and more fulfilling life, free from the harmful effects of alcoholism.

Spiritual experience

The concept of recovery from alcoholism is a complex and deeply personal journey, often involving a profound spiritual transformation. While the term "recovered alcoholic" is controversial, with some believing that alcoholism is a lifelong condition that cannot be truly "cured", many individuals do experience a profound sense of healing and wholeness that extends beyond mere abstinence from alcohol. This recovery often involves a spiritual awakening, a reconnection with oneself, others, and a higher power or sense of purpose, leading to a life filled with hope, serenity, and service to others.

At the heart of this spiritual experience is a shift in perspective and a redefinition of one's relationship with alcohol and the self. It involves recognizing the powerlessness over alcohol and developing a sense of humility, accepting the need for a force greater than oneself to restore sanity and peace. This surrender is not a passive act but an active decision to seek help and embrace a new way of life. For many, this involves turning to a Higher Power, whether it be God, nature, or a collective sense of goodness, for

Relapse

For individuals with alcohol use disorder, relapse can be a significant setback, leading to feelings of failure and hopelessness. It is important to understand that relapse is often a part of the recovery process and does not mean that an individual has failed in their journey towards sobriety. Each relapse presents an opportunity to learn and develop more effective strategies for managing triggers and preventing future relapses.

To prevent relapses, it is crucial for individuals to develop healthy coping mechanisms and to address the underlying causes that contribute to their alcohol consumption. This may include seeking professional help, such as therapy or support groups, to address mental health issues, improve coping strategies, and enhance social support systems. Additionally, individuals can benefit from identifying and avoiding triggers, maintaining a healthy lifestyle, and finding alternative activities to replace drinking.

While relapse is a common occurrence, it is important to distinguish between a lapse and a relapse. A lapse refers to a brief return to drinking, while a relapse indicates a more sustained return to alcohol use and the loss of control over consumption. A lapse does not necessarily mean that an individual has relapsed, but it can be a warning sign that requires immediate action to prevent a full-blown relapse.

In conclusion, relapse is a common challenge faced during recovery from alcohol use disorder. By recognizing relapse as a potential obstacle, individuals can develop strategies to prevent and manage relapses effectively, ultimately supporting their journey towards long-term sobriety and a healthier lifestyle.

Frequently asked questions