In Consultation


In Consultation

Working with Alcoholics: AA as a crucial adjunct to therapy

By Mark Schenker

March/April 2009


Q:I recently began seeing a new patient with an acknowledged drinking problem. He's asked about going to Alcoholics Anonymous, but I'm concerned that his attendance there may distract him from his work in therapy. What should I do?

A:If you're like most mental health clinicians, you've had little training in addictions treatment and minimal exposure to Alcoholics Anonymous (AA). Much of what clinicians know about AA comes from general media sources, word of mouth, and patients. But, given how common substance abuse problems are among our clients, we all need to have an accurate working knowledge of AA and its Twelve-Step Program.

Several features of AA make it ideal as an adjunct to therapy. No therapist alone can provide the kind of group support that AA makes available 24 hours a day. The process of change that occurs in AA can open up a tremendous amount of relevant clinical material, and the clinician, when properly oriented, can help resolve roadblocks and resistance that the patient encounters in pursuit of recovery.

AA developed from a meeting in 1935 between two alcoholics, Bill Wilson and Dr. Bob Smith, who recognized that through mutual support, each one could maintain sobriety. From this meeting grew a fellowship that now has nearly two million members worldwide, who attend almost 115,000 regularly scheduled meetings a year.

At meetings, AA members share with each other their personal experiences of struggle and…

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1 Comment

Monday, May 15, 2017 1:00:13 PM | posted by Wendy
I am very happy to see this informative article in Psychotherapy Networker. As an educator and (non-alcoholic) attendee of open AA and other 12-step meetings I find this article to be accurate and potentially very helpful to therapists in helping their clients who are recovering from addictions. AA is a resource that is free of charge and readily available. I would strongly encourage psychotherapists and other helping professionals to attend a few open AA (or NA) meetings so they can see what is available for clients. I have found that the combination of 12-step programs and psychotherapy is a winning combination, especially if therapists have a good understanding of the purpose and workings of 12-step meetings. I would also encourage professionals to read AA's "12 Steps and 12 Traditions," for a deeper understanding of how the program is designed and how it has evolved since its inception.