What is the success rate of recovery in AA? That depends entirely on who you ask, and on exactly what you are measuring.
For example, there is documentation that proves “early AA” had a success rate of about 75 percent.
On the other hand, there are some people who claim that AA actually has a negative rate of recovery, and that people actually relapse in AA who might have recovered “spontaneously” through spontaneous remission of the disease.
Finally, there are a large number of estimates out there that put the success rate of recovery at around 3 to 5 percent.
But it is indeed a tricky thing to measure. For one, what exactly are we measuring? Complete abstinence for life? Alcoholics who successfully make it to one year sober? What exactly determines “success” when we are talking about success rates? This is the first half of the measuring problem.
The other half of the problem is that it is very difficult to obtain truly accurate results across a large sample. There are a number of reasons for this, not the least of which is the anonymity that the program is based on. Add that to the shame and guilt associated with relapse, and you have the potential to seriously overestimate the success rate based on an anonymous survey.
What does AA themselves have to say? Here is a piece of an actual memo from the Alcoholics Anonymous GSO (General Services Office), based on an analysis of a survey period that ran for 12 years:
“After just one month in the Fellowship, 81% of the new members have already dropped out. After three months, 90% have left, and 95% have discontinued attendance inside one year.” (Kolenda, 2003, Golden Text Publishing Company).
Of course, this doesn’t really tell the whole story, as many people will leave after AA after being first introduced to it, and then later return once they have truly been beaten by their alcoholism. Most people who are a success story in AA tell of how they struggled–sometimes for years–going in and out of AA before they finally “got it.”
On both sides of this issue, people are very passionate
If you follow the 2 links at the beginning of this article, you’ll see that one is definitely pro-AA, and the other is vehemently anti-AA. One is claiming up to a 95% success rate, while the other is claiming AA is actually detrimental and has a negative success rate (lower than spontaneous remission). And you’ll also notice that both people are very passionate and firm believers in the stance they are taking. Why such a discrepancy here?
I believe the reason is that AA is effective for some, but it is clearly not for everyone. It is not a one-size-fits-all program. There are plenty of people who have achieved success and meaningful sobriety in AA. There are also those who have honestly gave it there best shot, only to eventually relapse and die. This is unfortunate, and it begs the question: “What are the alternatives?”
Unfortunately, there aren’t a whole lot. Yes, there are a few out there, but they are spread few and far between, and there are many disadvantages with all of them. While many of the alternatives to AA claim to have superior success rates, their method of measurement suffers from the same flaws as AA, and their is very little widespread support in these programs.
If you are on the fence about going to AA, here is what I suggest you do: Ignore the success rates you hear about and give it a chance. Do this knowing that AA is the single biggest support system of recovery in the world. The program may not be perfect, but it’s the best our planet has. The alternatives might talk a big game, but they don’t have meetings in every city in the world. AA does. You can find support just about anywhere. And it’s technically free to boot.
Here’s another suggestion: find someone in AA who has multiple years of sobriety and ask them what the success rate is for AA. They will likely tell you that they don’t care. It works for them.
Action items – What does all this mean for you?
1) Give AA a chance, because the meetings are everywhere and therefore the level of support is mind-boggling.
2) Don’t get stuck in thinking there is only one path to recovery – that is NOT TRUE. There are many paths.
3) Stay open. Regardless of what you choose, implement the spiritual principles into your life. Practice gratitude.
Recommended Reading
- Overcoming Addiction
- How to Get a 70 Percent Success Rate when Treating Addiction
- 5 Ways to Supercharge Your Recovery, Avoid Relapse, and Dominate Your Addiction Over the Holiday Season
- 10 Ways to Embrace Creative Recovery and Take Your Sobriety to the Next Level
- Holistic Addiction Treatment Center
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In December 2005 I finally realized I had a BIG drinking problem and actually needed help to stop. I enlisted the help of an Intensive Outpatient Program (IOP). That step alone did not get me sober. Although I fought tooth and nail, after my first relapse (January 2006) I finally agreed to listen to them when they suggested I go to 90 meetings in 90 days. When I relapsed the second time (February 2006), I revisited what I was doing. I then got a sponsor as it was suggested I do. Well, I worked the program and remained sober and in the AA program for almost 2 years. Then, my sponsor moved away, and I got complacent. I started going to meetings sporatically; however I have remained sober for over 5 years (2/26/06). I have remained sober to this day!! Now, I am trying to get my RN license and because I admitted to being an alcholic (honesty may not always be the best policy) they are now REQUIRING me to attend AA meetings and get a sponsor. Why?? I will admit that AA got me sober. I am 100% convinced of that. But keep me sober? I don’t believe I HAVE to stay in the AA program to remain sober. I realize this program got me sober, and that many people believe if they don’t go to meetings on a regular basis that they will pick up a drink. But I have no desire to drink. It’s like telling me if I don’t go to church, I will be damned to hell. If I don’t go to AA meetings, I will be damned to drinking. What are your thoughts?
I have never been able to buy blind faith. I have mixed feelings about A.A. My life has improved greatly since I stopped drinking, I was a mess. I am now a month shy of 10,000 days but I like to ring my bell every now and then which drives fellow a.a. people crazy. Now it would be great if one never used again but I don’t get twisted in the wind drugs like I did with booze. Most believe in a childish approach to life, a god that alters the universe so they can get their way. I think common sense was tossed out the window by many. What one can share at a meeting is censored and speaking of how you feel and think is discouraged if it is not in their book. I can’t be too hard on A.A. Since I won in being able to not drink for a extended period but abstinence from all mood altering drugs is where we differ. I just want a buzz and know when enough is enough something I could never determine when drinking.
To Lynn – AA is an anonymous program. There is no way to monitor whether you go or not. So I don’t understand how anyone can force you to go. I, like you, got sober in the 12 step program. I am currently a chemical dependency counselor who RARELY goes to meetings. Through the years I developed some real concerns with the program and decided it wasn’t for me.
It is a good program and a great resource in a country whose health care system fails it’s citizens.
The reason many counselors recommend the 12 step program is because it’s free. Recovery cannot be achieved in the 7 to 28 days most insurance companies allow.
I went to AA for five years. Different meetings, different sponsors (4). It was always the same.
Awful.
The 12 steps have nothing to do with alcoholism or problems related to it. Spirituality and higher powers? Why is that needed? It sent me loopy. I got no support unless I admitted powerlessness.
Unless you beleive you are powerless and that a higher power (God) can take away the cravings, keep you sober, then stay away. The steps break you down but their is no relief unless you beleive that God is taking you away from guilt and removing your sin. I beleive in God but don’t beleive in that.
Take God and Higher Powers out of AA. Take away the quaky steps. Take away controlling sponsors who think they own you. Yes, they do! And if you don’t do as they say, like pray and kiss their ass then they tell you you are in denial and unwilling to do what it takes to recover. If you don’t do the “suggested” (cough) twelve steps, which is too familiar with being a born again Christian, then they say you are a “dry drunk”.
They keep you sick for life and committed for life. There is no getting better. You are always IN RECOVERY.
Some say go to meetings and check it out. I say stay away. They try and brainwash you right away. The say “i love you”, “normal people don’t understand us”.
Those that have posted that criminals are being sent there are telling the truth. Even sex offenders and violent criminals.
There are such things as sponsor abuse and spiritual abuse. There is absolutely no one to stop some people from taking advantage of you. It is non professional. Everyone says and does whatever you want.
They say you can take what you want and leave the rest. NO! Because then you are not working the program to the best of your ability.
The 12 steps are 75 years old and derived from a Christian cult called the “Oxford Group”. The OG beleived that people were sinners and needed to confess sins to God. Bill W. was a member and left the group and made up some steps based upon the teachings of Frank Buchman.
Research this stuff. It’s all a bunch of baloney. Know truth. Educate yourself. Trust your instincts. Research other options. If you really want to quit drinking YOU can do it!
I have been in AA for 15 months and so far so great. I start to wonder why AA doesn’t work for some people as they have testified here. I refer backt o the Big Book for AA pages 20-22 and it says
Moderate drinkers have little trouble in giving entirely if they have good reason for it. They can take it or leave it alone.
Then we have a certain type of hard drinker. He may have the habit badly enough to gradually impair him physically and mentally. It may cause him to die a few years before his time. If a sufficiently strong reason-ill health, falling in love, change on environment, or warning of a doctor-become operative, this man can also stop or moderate, although he may find it difficult and troublesome and may even need medical attention.
But what about the real alcoholic? He may start off as a moderate drinker; he may or may not become a continuous hard drinker; but at some stage of his drinking career he begins to lose all control of his liquor consumption, once he starts to drink.
Here is the fellow who has been puzzling you, especially in his lack of control. He does absurd, incredible, tragic things while drinking. He is a real Dr. Jekyll and Mr. Hyde. He is seldom mildly intoxicated. He is more or less insanely drunk. His disposition while drinking resembles his normal nature but little. He maybe one of the finest fellow in the world. Yet let him drink for a day, and he frequently become disgustingly, and even dangerously anti-social. ..
And it goes on and on talking about the “real alcoholic”. But I remember reading these pages and asking myself which catagory I fall into. I fell into the ladder and as I read testimonies of people who say they stayed stopped on thier own and I wonder if they were moderate or heavy drinkers and maybe they didn’t need a program like AA.
I’m concened that a real alcoholic is thinking of getting help will read these other testimonies and compare themself with them and decide AA is not for them. And so to that person wI offer, why not read those pages for yourself and ask yourself honeslty which catergory you fall into. Check out a meeting instead of searching for answers online, online you are searching for what you want to hear. In a meeting you may hear some truth you need to hear.
I’m sure AA is not the only way but it’s at least its a way, so if your curious try it out. My Mom is an alcoholic, she attempted AA and stopped. She is yes still abstienet but she goes through real bad periods of dry drunkeness but she also is a spiritual person and does lots of service work in her community so in a way even though she doesn’t go to meetings she does, unintentional do some of the step work. And other times her quality of life and her behavior is that of an alcoholic. So take what you can, leave the rest, God Bless.
If you stop doing what you were doing to get sober……you will stop getting what you’ve been getting since youve become sober!!!!!!………..I know this personally “4″ times over.
The program outlined in the book Alcoholics Anonymous, not too closely followed by some who claim it, and often quite different from popular media, places importance upon an open mind. So, if you are still reading, I hope you will consider the following offered only to be helpful. AA is not successful, nor does it fail, any more than Harvard, golf or a violin. Many who earnestly try usually succeed. Millions have. If one succeeds, it works. If dozens succeed, it is evidence. If hundreds succeed, it is replicable. If thousands succeed, it is phenomenal. But, if millions succeed, it cannot be denied. People only succeed if they try. In the first few years of what later became Alcoholics Anonymous, the trial and error or flying blind period, many experiments and approaches were attempted, some were helpful and some were less so. They decided to write down what was working. In the next sixteen years, just over 300,000 copies of the first edition of Alcoholics Anonymous were placed in circulation. College, golf and music are not successful. Like a college class, chances of success increase if you get the book, read the book, study the book, and follow the lead of those who teach the book. Like golf and music, success usually only follows practice.
In 1955, AA had approximately 150,000 members; divided by 300,000 books is 50%. Of course, many got the program by word of mouth. Others borrowed the book. But, many got the book and never read or took any of the recommended actions. Some bought more than one copy. In order to thoroughly follow the AA program, the book is required for some Steps, especially Step Twelve, when the person may need to lend a copy of the book to a new prospect. People got the book and successfully stayed sober all over the world, many with no other book, little or no guidance, or even meetings. In fact, had not Alcoholics Anonymous first edition helped so many to succeed in staying sober, AA might not have such large presence or even be around at all. It was the only book on the Twelve Steps, until 1953, when Twelve Steps and Twelve Traditions was published. Another meditation book was published in 1954. However, these were not widely circulated until well after 1955, and were first purchased mostly by people already sober using Alcoholics Anonymous. So, any successes during the first twenty years, perhaps 50% more or less, were likely due mostly to the book Alcoholics Anonymous. At that time in history, anything close to 50% success in helping persons with chronic alcoholism, many very seriously afflicted indeed, was worth note. It still is. Alcoholics Anonymous book sells for around $12, about a buck at garage sales, far less expensive than treatment co-pay. The audio book is about twenty hours of listening. If you drink too much, have trouble stopping, or staying stopped, it might be worth the time and money. Try it, you might like it.
I was a washed up alcoholic and drug addict. I went to a meeting (my then girlfriend caled ALANON and suggested I go) I was 19 years old. It was 1979. I have not had a drink since. In the 31 years I have been sober I have seen people die of this disesase. One shot himself in the head sober! He had around 5 years. I have lost many friends to booze and dope. Check it out. It works for me. I went to about 5 mmetings n the last week. I owe the fols at AA my life. I’m happy to give back.
Take good care.
God Bless.
Carl
I have had some success with AA, but I have also been viciously verbally attacked in public meetings. I don’t speak up as often as I used to at meetings. Heaven help you if you dare to question anything in the Big Book.
Hi Greg! I am truly sorry that you have found meetings abusive. I go to meetings where heaven help us if we do not question things in the Big Book. Dogma will kill us almost as sure as booze will. The man who carried this message to the man who carried it to me, said that Dr. Bob told him, “Corne, always send our people home a thinking.” That man bought his first Big Book to prove it wrong. He read it only to find fault with it. Well, he was 44 years sober when he passed. I hope you keep questioning it, find people who cherish and share your inquiry with you, and experiment with it. I hope it works for you, and if it does that you will try to pass it along to others. If not, I hope you keep trying to find anything that helps you.
a bunch of crazys
I was no longer welcome at my home group meeting once I became sober. The people who helped me in the start turned their backs on me and did not tell me why. They were always cross talking me and insulted me for getting married right in a meeting. According to those people I was supposed to ask my sponsor before i got married. I never have understood this and wondered how I was supposed to call my sponsor who never answered the phone while my husband was on one knee. I have well over three years but have not been to a meeting since July 4, 2011. I have been advised by two professionals that until I heal from the hurt of being outed not to return to any meetings. This has been painful and very lonely. AA can be a very negative place for some of us.
AA is certainly not the way to go for me. It’s really an outdated program that many people take too literally. When I got out of treatment, I went to two AA meetings during that first week out and I never went back. This is because I found myself looking around the room and thinking “I’d rather be dead than live like any of these old timers at this meeting”. Naturally, there is another way… It’s called take control of your life and put down the bottle.
It has worked for me so far; next month I will have 12 years sober. For me, the focus on how to stay sober regardless of why I am an alcoholic has been critical. Simply stated, I don’t drink or use, I read the relevant literature with an open mind, I connect regularly with my own concept of a power great than myself as a meditative process to focus on what is positive and possible for the day, and I take time to talk with and commit to assist others who find themselves with similar issues and challenges. It has become a positive, productive way of living for me and I know it can work for others who are similarly committed—it doesn’t seem all that complicated or controversial.
We receive lots of visitors from your site and thank you. At age 86 with 25 years of continuous sobriety, I’m still a happy camper with A.A. And that’s because I left no stone unturned in giving the program my best shot. That meant lots of meetings, going early and staying late, getting a commitment, getting a sponsor, involving myself in every kind of fellowship fun and learning, studying the Big Book, going through the Steps, sponsoring lots of men, and always looking primarily for a newcomer to help. Add to that my greater and greater trust in and reliance upon God, and I’m glad this great resource was made available to me. Today, I lke to say that I am A.A. friendly, history friendly, Bible friendly, and recovery friendly. And I think Dr. Bob set that as an example for all.
God Bless, Dick B.
Perhaps someone can help me out…what is the success rate of people in AA who thoroughly work steps 1-9 with a sponsor, practice 10 and 11 DAILY, and practice step 12 by taking others through the work? AA for me is not meetings. It’s what it was for the founders…the program outlined in the book titled Alcoholics Anonymous. In that book it states, “Rarely have we seen a person fail who has thoroughly followed our path. Those who do not recover are people who cannot or will not COMPLETELY give themselves up to this simple program…” I notice it doesn’t say “Rarely have we seen a person fail who has made it to a bunch of AA meetings,” or “Rarely have we seen a person fail who has done steps 1,2,3,” or “Rarely have we seen a person fail who sits in their fourth step for 3 months,” or “Rarely have we seen a person fail who takes years to get through the steps,” or “Rarely have we seen a person fail who goes through the steps and stops practicing 10 and 11 and working with others through sponsorship and reaching out to the newcomer.” I’d actually like to see the percentage of people who stay sober by working the program outlined in the first 164 pages of the Big Book of Alcoholics Anonymous…a program that by design of 10, 11, and 12 is a lifetime of continuous action. After having relapsed in AA, I realized there’s a war in AA that is killing people. There’s a war between the message often in the rooms and the message in the book. The message to save lives is in taking the actions outlined in the book titled Alcoholics Anonymous, “The Story of How Many Thousands of Men and Women Have Recovered from Alcoholism.” Please if you are struggling from alcoholism, go to an AA meeting, find a sponsor, and work the steps with the desperation of a drowning (wo)man.
My father was an episodic abuser of alcohol (the pseudo-scientific term “alcoholic” is meaningless), brought on mainly by an anxiety problem (the root cause of most alcohol abuse).
He was bombarded by the unasked for attentions of AA fanatics, which made the problem worse if anything — he did not need the sense of personal helplessness and guilt they tried to instil in him. +He could have been saved by a simple benzodiazepam program — Librium became available in the last year of his life and at least eased the suffering caused by the anxiety problem. But it was too late and he died.
I was a heavy alcoholic for three years (one litre of cheap “whiskey” per day minimum) — same underlying cause: anxiety disorder. I went cold turkey one morning, staggered to my general practitioner (a very wise young woman) just round the corner with the worst panic attack I have ever experienced. She gave me an injection and put me on a six month valium program, starting high and phasing out slowly. The perfect cure and it has lasted for ten years. I can have a glass of beer or sherry when I feel like it (not very often) without the dire consequences of “one drink and that’s it!” that AA fanatics predict.
I believe that anxiety disorders are the main underlying cause of alcohol abuse. Society makes it much easier to walk into a liquor store (without a prescription) and buy a deceptive “cure” for anxiety, than it is for most people to seek medical help — for alcohol abuse as a symptom, and the underlying anxiety or stress which is the real “disease”.
The evil of the AA programme is encapsulated in the compulsory “I am Sam. I’m an alcoholic” — it is reductionist, it reduces the complex human being “Sam” (father, husband, friend, professional worker, artist or craftsman etc) to a pathetic one-dimensional creature: an “alcoholic”.
Anyone who has read that old classic “Battle for the mind” by Sargent (?) will recognise the methodology of the AA as brainwashing. If they read the book they will also know that the effects of even the most severe brainwashing quickly wears off once the individual returns to normal society.
The AA is a cult, and a dangerous cult, which undermines a true understanding of the underlying causes of self-medication with alcohol — such as anxiety disorders — which require medical help, not mumbo-jumbo. AA only works for highly suggestible people with underdeveloped intellects.
A previous contributor wrote:
“Please if you are struggling from alcoholism, go to an AA meeting, find a sponsor, and work the steps with the desperation of a drowning (wo)man.”
If your are an intelligent person who make your own decisions and and prefer to control your own life, I say DON’T! Find a good general practitioner who has not bought into the AA cult, get yourself referred to an appropriate specialist to identify the underlying cause of your alcohol self-medication (“alcoholism” is not a disease, it is a symptom) — it could be an anxiety disorder or it could be an unbearably stressful situation at home or at work, it could be loneliness, it could be many things, but it is not a primary condition. Contrary to the belief spread by pseudo-scientists, there is no such thing as an “alcoholism gene” (there may be a genetic predisposition to anxiety and various other recognised disorders, which is something else). Get to the root of the problem. don’t try to treat the symptom by allowing a cult to get its claws into you. Spending the rest of your life attending AA-meetings is probably not much better than being pickled for the rest of your life.
However, if you are a religious fundamentalist, and a sitting duck for shampoo advertisements on TV, the AA is probably your best option.
aa is a program of honesty. “many people are constitutionally incapable of being honest with themselves. their chances are less than average.” aa works just fine. i am living proof of that. it is nothing more than a fellowship of men and women whose primary purpose is to help the alcoholic who still suffers. you can condemn the program without giving it an honest chance to work in your life-while maintaining your anger and untreated disease of alcoholism, or you can see what it’s all about….they’ll be waiting for you in a meeting near you. i promise.
for those of you who said aa dosent work ,it didint work because u were not ready to quit ,if you have a serious drinking problem and your life is unmanageble get your self to an aa meeting you wont regret it ,your life wont get perfect but that fear of reality will leave you ,and you will know what freedom really means ,it will be tough a the start but even your bads sober will be better than your best days drunk ,i needed it and its worked for me ,you have to want it ,dont compare with anyone just idientify ,do the steps it ill make u a stronger person ,best of luck to every one who reads
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