Dr Linda Helps - “Hi, my name is Pat. I’m an alcoholic. I’m here because I need help.” Pat is about to join 15 million other people in attending an AA meeting. 1 Most people are somewhat familiar with the self-help group Alcoholics Anonymous (AA). It is probably the best known of all substance use/abuse self-help groups around. If, however, you are not that familiar with AA, here is a brief description to help you determine if it’s a good choice for you.

It is estimated that one-fourth of all people struggle with substance abuse or dependence problems, and that 20% of all children grow up in alcoholic homes.2 This means a lot of people are affected by alcohol. Many need group support to stay sober and deal with drinking behavior.

AA was founded in 1935 and currently has members in over 150 countries. The basic belief of AA is that alcoholism is a disease of the body and spirit. One must accept powerlessness over the drinking and submit to what is now loosely defined as “higher power.” For Christians, this means admitting your powerlessness to God and surrendering your life to Him.

The program is not treatment. It offers a place where people can share their struggles and embrace spirituality as their source of help. You must attend meetings, read the “Big Book” (12 steps), get a sponsor, and work the 12-step plan. Sobriety is the goal. The famous slogan is, “One day at a time.”

AA is for people who are alcoholic and want to become sober. It has spawned a number of offshoots using the same 12 -step approach:

· Al-Anon for spouses and family members

· Alateen for teens dealing with alcoholic family members

· Adult Children of Alcoholics (ACOA) for those who grew up in alcoholic homes

· Narcotics Anonymous for those abusing other drugs

· Gamblers Anonymous for those addicted to gambling

· Overeaters Anonymous for those fighting compulsive eating and bingeing

· Codependents Anonymous for those in unhealthy dependent relationships

These groups are usually found in most communities and meet often. Talking with fellow addicts reduces the stigma of disease and helps people feel understood. You can attend as many meetings as needed to stay sober. The spiritual component of AA is attractive to many and a turn off for others. The inclusion of a spiritual dimension allows Christians to incorporate God into their recovery.

AA is not for everyone and there are other types of self-help groups for addictions.


1 Fisher, G.L. & Harrison, T.C. (2000).  Substance abuse: Information for school counselors, social workers, therapists, and counselors. Boston: Allyn & Bacon.

2 National Institute on Drug Abuse (1998). National Household Survey on Drug Abuse. [Online]: http://www.samhsa.gov