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Nov 24, 2024

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There are many different reasons someone could be unsuccessful in AA. Some people have left AA because of the lack of scientific evidence in the material, or some say it’s because of its one size fits all approach. But let’s say that our client genuinely wants to recover and make a better life for himself and his family. So, he joined an AA group in an attempt to get sober and for a couple of weeks everything was going well, and he was able to get a few weeks of sobriety behind him before he lost his job and started drinking again. After spiraling for a couple of months he decided to try sobriety and AA again but to no avail. He attempts to find work while desperately struggling with alcohol abuse and depression which in turn is causing even more problems between him and his wife to the point that she is ready to leave him and take the kids if he doesn’t get help. In this particular case I would recommend that the client be evaluated and entered into a form of psychotherapy such as cognitive behavioral therapy or CBT. Which can help the client learn how to identify and manage negative thoughts while revealing the relationship between these negative thoughts and feelings and the tremendous effect they have on our behaviors. By giving the client an understanding of how these thoughts and feelings are directly related to their own experiences, we can help him to increase his knowledge about these negative thoughts and feelings and give him coping skills to help change his thought patterns to a more meaningful and positive experience. Another great form of psychotherapy is dialectical behavioral therapy or DBT. Though it was originally designed to help those suffering from borderline personality disorder or BPD, it has been proven effective for many other mental health disorders such as suicidal behavior, anxiety and PTSD. Teaching many different coping skills such as distress tolerance, emotional regulation and mindfulness just to name a few, DBT offers a variety of coping skills and proven strategies that can help the client better understand and deal with the intensities of their emotions. Both of these forms of therapy can be done in a group setting or one on one, and both can be more effective to the client’s needs than AA alone because CBT will help the client understand the thought process that triggers them to want to drink, how to identify when these thoughts are present, and how to respond in a healthy, mindful manner. Teaching him to cope with these thoughts instead of masking them with substances. Likewise, DBT will help the client understand and recognize their own emotions and emotional reactions to circumstances around them. The goal is assisting in the development of new coping strategies, while teaching clients the importance of regulating their emotions and how these negative emotions can lead to behavioral issues when not corrected. In order for our client to succeed we need to help him correct his negative thought patterns and help him to live in the moment working on what he can change and building better relationships with those around him. He already shows willingness to change and has attempted to make these changes on his own. The coping skills learned in both of these forms of psychotherapy can be truly beneficial to our client as he learns how his thoughts and approach to different situations have a profound effect on his sobriety.

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