The question of whether an individual with alcohol use disorder (AUD) can learn to drink in moderation is a complex one. Traditionally, abstinence has been the cornerstone of recovery. However, emerging programs like Moderation Management (MM) suggest that controlled drinking might be possible for some. This article explores the possibilities and challenges of moderation for those with a history of alcohol problems.
Moderation Management: A New Approach
Moderation Management (MM) offers an alternative to complete abstinence. This program emphasizes harm reduction and teaches participants strategies to control their drinking. The core tenets of MM include a 30-day abstinence period, identification of triggers, behavior modification, and developing coping mechanisms. Participants are encouraged to honestly assess their drinking habits and motivations.
It’s important to note that MM is generally considered most effective for individuals with mild to moderate drinking problems, not those diagnosed with severe AUD. Success hinges on the individual’s commitment to the program and their ability to honestly self-evaluate.
:max_bytes(150000):strip_icc()/GettyImages-1226028823-59c772bb3df78c9281947d2c.jpg)
The Challenges of Moderation for Alcoholics
While MM offers a potential pathway for some, moderation is often unattainable for individuals with AUD. Several factors contribute to this difficulty:
Withdrawal Symptoms
Reducing alcohol intake can trigger significant withdrawal symptoms in those with AUD. These symptoms can range from anxiety and insomnia to more severe physical manifestations like tremors and seizures. The discomfort of withdrawal often leads to relapse.
:max_bytes(150000):strip_icc()/sweating-hands-close-up-770150563-5c3d8c6746e0fb0001dcd342.jpg)
Loss of Control
A hallmark of AUD is the inability to control alcohol consumption once drinking begins. Even with the intention of moderate intake, individuals with AUD often find themselves exceeding their limits. This loss of control undermines moderation efforts. They may minimize past negative consequences associated with their drinking, further fueling the cycle.
Psychological Dependence
The psychological dependence on alcohol can be incredibly powerful. Individuals with AUD may rely on alcohol to cope with stress, anxiety, or other emotional challenges. This deep-seated reliance makes it extremely difficult to moderate intake.
Strategies for Moderating Alcohol Consumption
For individuals whose alcohol use is problematic but doesn’t meet the criteria for AUD, certain strategies may help moderate consumption:
Self-Monitoring
Tracking daily alcohol intake can provide valuable insights into drinking patterns. Using a journal or app to record the number of drinks consumed helps individuals stay mindful of their habits. Sticking to standard drink sizes (12 ounces of beer, 5 ounces of wine, or 1.5 ounces of distilled spirits) is crucial for accurate tracking.
:max_bytes(150000):strip_icc()/GettyImages-sb10066489b-001-5bb9414146e0fb0026a1035a.jpg)
Goal Setting
Establishing realistic and attainable goals is essential. This might involve designating specific days as alcohol-free or setting limits on the number of drinks per occasion. Clearly defined goals provide structure and accountability.
Medication
The medication naltrexone can be helpful in reducing cravings and blocking the pleasurable effects of alcohol. The Sinclair Method, which involves taking naltrexone one hour before drinking, has shown promise in helping some individuals achieve moderation.
:max_bytes(150000):strip_icc()/GettyImages-1131397542-5c68e6d8c9e77c000104c12f.jpg)
Healthy Alternatives
Finding enjoyable activities to replace drinking is crucial. Exploring new hobbies, engaging in exercise, or practicing relaxation techniques like deep breathing or meditation can provide healthy outlets and reduce reliance on alcohol. Developing a “no” script for declining drinks in social situations can also be helpful. Openly communicating about urges with a trusted friend, family member, or therapist provides support and strengthens resolve. Replacing alcoholic beverages with appealing non-alcoholic options like mocktails or sparkling water with fruit can also help manage cravings and maintain social engagement.
Conclusion
While moderation may be possible for some individuals with problematic drinking patterns, it’s crucial to understand the significant challenges for those with AUD. For individuals struggling with alcohol dependence, seeking professional help is essential. Treatment options for AUD include therapy, support groups, and medication. If you or a loved one is struggling with alcohol use, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for confidential assistance. Remember, recovery is a journey, and seeking help is a sign of strength.
