There is no one-size-fits-all solution; any list of evidence-based treatments is going to include a wide variety of approaches.
AA is cloaked in misconceptions and mysticism: a society of “former drunks” who tout spirituality as a means to cure the chronic, genetic, and life-threatening disease of alcoholism.
Substance use can alter behaviors, moods, and personalities so severely for people with addiction that without specialized knowledge and experience, it’s difficult to determine underlying causes such as mental illness or trauma.
“Are you drinking again?” I said it. It was out. The question was with me only as long as I said it. I was trying to be casually supportive.
Now that I’m here, I really want a drink, but Alejandro won’t let me. I’m so nervous and anxious. Lost. My thoughts are circling, and I can’t stop the spiraling repetitiveness of my obsessions. I’m afraid.
I’ve heard rumors suggesting that women’s only recovery meetings are not good because they’re just “man-bashing.” This is unequivocally false; just because something isn’t for you doesn’t mean it is against you.
For the purposes of this essay, clean is defined as being off “hard drugs” and sober is being off all drugs (alcohol included). Accepting these definitions, is it possible to stay clean without getting sober?
Any program predicated on the idea that people need to “just say no” causes the opposite effect. High risk groups tend to be encouraged to participate in the forbidden behavior.
Doodling, drawing, and coloring impromptu art is a go to method for me to stay centered. Maybe it’ll work for you, too.
I allowed a seed of anxiety to grow and take roots in other parts of my psyche. It is kind of like when a tree brings water up through its roots to nurture itself, only in a much more fucked up and non-poetic kind of way.
If you or someone you know is in immediate danger, call your local emergency number. The numbers listed here are the commonly used numbers for the stated region, the numbers can vary greatly depending on where you live. If you don't know your country's equivalent to 911, this wiki page and The Lifeline Foundation have comprehensive listings.

911
The Americas

112
Europe

112 & 999
Africa

112, 999, 110
Asia

112, 911, 999, 111, & 000
Oceania
Find help for a crisis by texting, calling, or chatting online with these free crisis organizations. Looking for one outside of the USA? Check out our support listings.
Crisis Text Line
Text: “HOME” to 741741
Suicide Lifeline
Text: “ANSWER” to 839863
Call: 1-800-273-8255
Domestic Violence Hotline
1-800-799-7233
1-800-787-3224 (TTY)
Child Abuse Hotline
1-800-422-4453
The Trevor Project
Text “START” to 678678
1-866-488-7386
These online and international resources may help you anywhere you are located. Looking for local support outside of the USA? Check out our support listings.
DV Support Abroad
Call toll-free worldwide
1-833-723-3833
I'm Alive Virtual Crisis Center
Live chat with trained volunteers
Crisis Connections
24/7 crisis support with interpretation in 155+ languages