Tag: Non 12 Step

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Understanding 6 Unique Recovery Pathways and Their Benefits: Wes Arnett

Recovery from addiction is a personal journey, and there are many pathways designed to support people along the way. Each pathway has its own philosophy, methods, and focus. Below is a description of six popular recovery programs: SMART Recovery, Twelve Steps, Recovery Dharma, White Bison, The Phoenix, and LifeRing. Some people try several different pathways before finding the one or two that best fit them, and that is ok and a part of the journey.  

1. SMART Recovery

SMART Recovery stands for “Self-Management and Recovery Training.” This pathway focuses on empowering individuals to take control of their lives and make positive changes. It’s based on science and uses techniques from cognitive-behavioral therapy (CBT). SMART Recovery meetings are centered on building skills like managing emotions, setting goals, and handling urges. Unlike some other programs, it doesn’t require participants to believe in a higher power—it’s all about practical tools. 

2. Twelve Steps

The Twelve Steps program is best known through Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). This pathway emphasizes spiritual growth and the support of a higher power (though it’s not tied to any specific religion). Participants work through twelve steps, which include admitting they have a problem, making amends for past harm, and helping others in recovery. Meetings are often very structured and rely heavily on sponsors. 

3. Recovery Dharma

Recovery Dharma combines Buddhist principles with addiction recovery. It focuses on mindfulness, meditation, and self-awareness to help people manage cravings and understand the root causes of their addiction. The pathway doesn’t require participants to be Buddhist but encourages practices like meditation to develop a sense of peace and balance. 

4. White Bison

White Bison is a recovery pathway rooted in Native American traditions. It’s part of the Wellbriety Movement, which teaches the importance of living a balanced, healthy life. White Bison focuses on healing from addiction while reconnecting with cultural heritage, spirituality, and community. Ceremonies, storytelling, and sharing circles are often part of the process. 

5. The Phoenix

The Phoenix is a recovery pathway that centers around fitness and physical activity. It encourages people to build strength—both physically and emotionally—through activities like yoga, running, climbing, and group workouts. Participants must have at least 48 hours of sobriety to join events, and the focus is on creating a positive, supportive community. 

6. LifeRing

LifeRing focuses on creating a personal recovery plan, which they call a Personal Recovery Program (PRP). This pathway doesn’t rely on spirituality or higher powers but instead encourages self-reliance and peer support. Meetings involve open discussions where participants share their experiences and encourage one another. LifeRing is secular, meaning it’s not connected to any religion or spiritual beliefs. 

How They’re Different

Each program takes a unique approach to recovery:

  • Faith vs. Self-Empowerment: Twelve Steps emphasizes faith and spirituality, while SMART Recovery and LifeRing focus on personal control and science.
  • Cultural and Spiritual Focus: White Bison is tied to Native American traditions, and Dharma Recovery uses Buddhist teachings.
  • Activity-Based Recovery: The Phoenix helps people recover through fitness and community activities.
  • Structured vs. Flexible: Twelve Steps and SMART Recovery have structured steps or tools, while LifeRing and The Phoenix allow more flexibility.

Choosing What’s Right for You

Recovery is a journey, and there is not a one-size-fits-all solution. The best recovery pathway for you is the one that fits your values, needs, and lifestyle. Some people find comfort in spirituality, while others prefer practical strategies or community-based support. It’s okay to try different pathways to see what works best for you. Remember, recovery is about finding what helps you live a healthy, fulfilling life. Whatever pathway you choose, support is available, and you’re not alone. If you are looking for help exploring different pathways, consider working with a recovery coach as they are trained to help people with this very thing.

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Beyond the 12 Steps: Alternative Paths to Recovery for Young Adults: Megan Cornish

Disclaimer: The views and opinions expressed in these contributions are those of the individual authors and do not necessarily reflect the views of Recovery.com.

In 1935, Bill Wilson and Bob Smith were both fighting to keep their alcoholism in check while juggling demanding jobs. When they met and began to talk about their battles, they recognized a truth that would become the foundation of the recovery community in the United States: staying sober is a whole lot easier when you’re not doing it alone. By 1950, Alcoholics Anonymous (the group Bill and Bob started, also known as AA) had already helped more than 100,000 people find their way to recovery.

AA struck a chord in early 20th-century America. Its manual, called “The Big Book” by members, laid out 12 steps to guide people through recovery. The approach fit right in with the era’s thinking around addiction, spirituality, and self-care.

AA was built on a framework that included:

  • A primarily spiritual worldview
  • A focus on alcohol as the substance of choice
  • The belief that the ability to get and stay sober could only be found through a higher power
  • Strategies that were tested out and established by predominantly (white) men
  • An abstinence-only approach, with absolutely no substance use allowed

There’s a reason AA’s so popular. Research shows that, for many people, it works. In fact, AA’s 12 step program was found to be 60% more effective than other interventions for helping people get into recovery from alcoholism.

90 years have passed since Bill and Bob founded AA, and while it’s still easier to stay sober with help, a lot has changed. The old model tends to resonate with the older generations, who identify with the framework that AA was built on. But there are a lot of people—especially young people—looking for recovery resources who might not connect with AA’s traditional (and, at times, inflexible) views on recovery. And though it’s hard to find a non-12-step based recovery program, they do exist—it’s just a matter of figuring out where to look for what will work for you.

Recovery Support, But for Young Adults

YPR- Young People in Recovery

If you walk into a typical 12 step meeting, you’ll probably find people of all ages, but you might also notice that the average veers towards the older generation. Possibly that’s because it takes time to realize you need support to stay sober, and the young people who make their way to 12 step meetings are ahead of their peers. No matter what the reason, there can be a certain energy in AA meetings: stories full of hard-earned wisdom, decades-long battles, and the kind of insight that only time can give.

This wisdom is something young people in recovery need—but sometimes, they need support from people their own age, too. 

Young People in Recovery (YPR) is a non-profit that’s trying to offer exactly that. YPR gets that young adults (under the age of 30) in recovery are facing unique pressures: navigating college life, launching careers, building relationships—all while managing sobriety in a world where social media, parties, and stress are ever-present. 

YPR offers local chapters, life-skills workshops, advocacy projects, and social events, and welcomes all recovery pathways, including people in 12-step programs. They try to create a space where young people can connect with people their age who understand the here-and-now challenges they’re struggling with.

Recovery Support, But Not for Alcohol

SMART Recovery

Not everyone battling addiction is fighting alcohol. Maybe it’s opioids, stimulants, or even behaviors like gambling or overeating. And while many people struggling with other addictions find AA to be helpful, others don’t—and that’s okay.

SMART Recovery stands for Self-Management and Recovery Training, and it focuses on giving struggling people practical tools and strategies to overcome addiction. SMART emphasizes personal responsibility and secular principles, and it draws on ideas from cognitive-behavioral therapy and motivational interviewing to address any type of addiction.

Instead of 12-Steps, SMART Recovery uses a 4-Point Program:

  1. Building and Maintaining Motivation: Helping you identify and keep sight of your personal reasons for change.
  2. Coping with Urges: Teaching strategies to manage cravings and avoid relapse.
  3. Managing Thoughts, Feelings, and Behaviors: Using cognitive techniques to tackle unhelpful thinking patterns.
  4. Living a Balanced Life: Encouraging you to set goals and create a fulfilling, healthy lifestyle.

Now, while SMART Recovery is gaining popularity and has helped many people, it’s worth noting that there’s not as much research on its effectiveness compared to programs like AA. Early studies are promising, but more comprehensive research is needed to fully understand how well it works across different populations.

But if you’re looking for a recovery program that isn’t specific to alcohol, SMART Recovery might be worth checking out.

Recovery Support, But Not Religious

In 1935, faith and religion played a huge role in the day-to-day lives of most people. It’s estimated that as many as two out of every three people identified as religious by the 1950s. Today, that number is much lower—less than half—with one in three people identifying as “spiritual, but not religious.”

The move towards non-religious-affiliations is most noticeable with younger generations. According to research conducted by the Pew Research Center, only around four in ten millennials reported religion as being “very important” to them, compared to just 60% of Baby Boomers. Many young adults describe themselves as “spiritual but not religious,” or they don’t identify with any spirituality at all.

Alcoholics Anonymous, which is religious by nature, won’t work for someone who doesn’t believe in a “higher power.” And although AA has widened its definition of a “higher power” to include anything that gives you strength—even if it’s not a traditional deity—that concept still doesn’t resonate with everyone.

If you’re among those who feel like you might need recovery support without the religious or spiritual framework, there are a few options for you.

Secular Organizations for Sobriety (SOS)

The Secular Organizations for Sobriety (SOS), also known as “Save Our Selves”, promotes a non-religious path to sobriety. It was founded in 1985 by James Christopher, who felt that the spiritual focus of traditional programs like AA didn’t fit with his beliefs.

Here’s what’s different about SOS:

  • Secular: SOS doesn’t invoke any higher power. Instead, there’s a focus on self-reliance and confidence in your ability to change.
  • Self-Empowerment: SOS believes you’re in charge of your own recovery journey, so they try to support you in taking control of your life and making conscious decisions to stay sober.
  • Community Support: SOS meetings still provide peer support—they give space to share experiences and strategies without religious or spiritual discussions. 

One thing to keep in mind is that SOS isn’t as widespread as some other programs, so finding a local meeting might require a bit of searching. But they do offer online resources and support groups, which can let you access SOS even if there’s no chapter near you.

LifeRing Secular Recovery

LifeRing is another option if you’re looking for a secular approach to recovery. Like SOS, LifeRing was established as an alternative to religion-focused recovery programs. It also grew out of a demand for more flexible approaches that didn’t prescribe strict guidelines for recovery.

As a recovery program, LifeRing:

  • Empowers Your “Sober Self”: LifeRing operates on the idea that within each person struggling with addiction, there’s a “sober self” and an “addict self.” The goal is to strengthen your sober self through positive support and self-empowerment so that it can overcome the addict self.
  • Offers Flexibility: There are no prescribed steps to follow. Instead, LifeRing encourages you to develop your own recovery plan. Their motto is “Empower Your Own Recovery.”
  • Focuses on the Present: Meetings center around what’s going on in your life right now. Participants talk about their current challenges and successes, supporting each other but not dwelling on labels or past mistakes.
  • Keeps It Secular: LifeRing maintains a strictly secular approach. There’s no discussion of a higher power or spiritual aspects, keeping it a comfortable space for those who prefer to keep religion out of their recovery journey.

While LifeRing isn’t as widely known as some other programs, it’s gaining popularity, especially among young adults who are looking for recovery support that’s personalized to them and non-religious. As with other alternative recovery programs, there’s less research on its effectiveness compared to AA, but that doesn’t mean that you won’t find it to be valuable on your path to sobriety.

Recovery Support, But Not Centered on Men’s Experiences

AA was created by men. That’s not to say it hasn’t helped women—it has, by the thousands—but women didn’t even attend AA until after the Big Book was written. 

The experiences, challenges, and societal expectations faced by women can be really different.

Women for Sobriety (WFS)

Dr. Jean Kirkpatrick wanted to get sober, but found that AA didn’t help her—- at least, not in the ways she needed as a woman battling alcoholism. After discovering and defining the strategies and principles that actually did help her achieve sobriety, she established Women for Sobriety in 1975. 

WFS is all about:

  • Positive Affirmations Instead of Steps: WFS is built around 13 Acceptance Statements that support emotional and spiritual growth. The statements are about building self-esteem, reducing guilt, and getting healthy.
  • Holistic Healing: WFS views addiction as about more than just the substance—it also involves a persons’ emotions, relationships, and self-worth. As a result, the program stresses that women in recovery need to nurture all aspects of their lives.
  • Empowerment Rather Than Powerlessness: Instead of admitting powerlessness over addiction (like AA calls for), WFS encourages you to recognize your strength and capability to change your life.
  • Peer Support: Meetings provide a space where women can share openly with each other without fear of judgment.

WFS offers both in-person and online meetings, which is awesome if you’re balancing a busy schedule or prefer connecting from the comfort of your home. Plus, it’s secular, so there’s no religious component unless you want there to be.

She Recovers

She Recovers was founded by Dawn Nickel and Taryn Strong, a mother/daughter duo. Like WFS, She Recovers is specifically built for women, but they use tools like yoga, meditation, and mindfulness to bolster their recovery program. Plus, it tackles issues like mental health, trauma, and stress. 

The She Recovers approach centers on:

  • Integrative Approaches: She Recovers embraces all pathways to recovery. Whether a woman is into 12-step programs, yoga, therapy, or something entirely different, they’re welcome.
  • Connection is Key: The program is big on the power of connection and community. They offer retreats, workshops, coaching programs, and a strong online presence so that there’s always a way to connect with other women on similar journeys.
  • Self-Care and Wellness: She Recovers encourages practices like yoga, meditation, and mindfulness as tools for healing. 
  • For All Women: The community welcomes all self-identified women and non-binary individuals more comfortable in a women-centered space. 

She Recovers also offers a directory of Certified Recovery Professionals whose training and work align with She Recovers principles. Women pursuing recovery can find coaches, yoga instructors, dance facilitators, and other healthcare professionals that can support their pursuit of sobriety.

Recovery Support, But Not Abstinence-Focused

You don’t have to be an addict to want to change your relationship with substances. Alcoholics Anonymous has a hardline approach to recovery- if you’re an addict, you need to stop using all substances, period. But not all people feel like they need that- and not all recovery programs require complete abstinence, either.

Moderation Management (MM)

Audrey Kishline founded MM in 1994. She wanted to help people who wanted to reduce drinking to healthier levels rather than quit entirely. According to MM, problem drinking exists on a spectrum, and not everyone needs (or wants to commit to) lifelong abstinence.

The key features of MM include:

  • Personal Responsibility: MM encourages you to take control of your drinking habits by setting and sticking to your own moderation goals.
  • Tools: The program provides strategies for cutting back, like tracking your drinks, setting limits, and planning alcohol-free days.
  • Supportive Community: MM offers meetings—both in-person and online—where members share experiences, challenges, and successes in a non-judgmental environment.
  • Step-by-Step Approach: MM recommends a 30-day period of no drinking to help you reset and evaluate your habits before moving into moderation.

MM isn’t right for everyone. If you have a severe alcohol dependence or a history of failed attempts at moderation, you might benefit more from abstinence-focused programs or professional treatment. 

Finding What Works for You

At first glance, the recovery world seems very 12-Step centric. Young people especially might not vibe with the traditional framework of AA, since the spiritual emphasis, the abstinence-only approach, and the fact that it was developed nearly a century ago by and for men can make it seem out of touch.

But the good news is that there are many ways to get to recovery.

If you’ve tried AA and know that it’s not what you need to get (and stay) sober, remember you’re not alone—after all, what works for a friend might not be what works for you. There are other communities available to help you. Don’t be afraid to explore your options, remember that recovery isn’t a straight line, and keep pushing to find the path that leads from where you are to a happier, healthier life.

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12-Step vs. Non-12-Step Recovery: Which Is Best for You?

Rehab is designed to provide structure as you begin the process of recovery. There are countless ways to heal, and it’s important to choose a framework that meets your specific needs. While many people benefit from 12-Step rehab programs, others prefer a more holistic approach to addiction treatment.

Recent research shows that 12-Step programs have a hugely positive impact,1 and may even be “the most effective path to abstinence.” However, there is some question as to why this is true. For example, 12-Step programs offer social support,2 which is essential during recovery, but is not unique to this philosophy. At most inpatient rehab programs, you’ll be able to build community with or without following the 12 Steps.

It’s also important to note that spirituality is a component of every 12-Step program. If you’re not interested in faith-based recovery, these groups may not be right for you. Various rehab facilities offer different 12-Step groups, such as A.A. and N.A., as well as non-12-Step programs. Before choosing which residential rehab you’ll attend, it’s best to learn as much as you can about the available options.

What Is 12-Step Recovery?

Alcoholics Anonymous is the best-known 12-Step program.3 A.A. is “an international fellowship of men and women who have had a drinking problem. It is nonprofessional, self-supporting, multiracial, apolitical, and available almost everywhere. There are no age or education requirements. Membership is open to anyone who wants to do something about his or her drinking problem.”

Members of A.A. attend group meetings,4 most of which have a similar format: initial announcements are followed by a reading of the 12 Steps5 and the 12 Traditions.6 Then a member will share their story. This may be followed by a group conversation, or more structured time for other members to describe their experiences. This structure is simple but effective. As one member writes, “I always feel a little better after it’s over.”

Many 12-Step groups follow similar formats, such as Narcotics Anonymous, Cocaine Anonymous, Marijuana Anonymous, and Al-Anon, which is intended for people who love someone who struggles with substance misuse. These groups define the 12 Steps slightly differently, but all share a similar philosophy.

The 12 Steps

The 12 Steps are a list of actions that group members undertake during the process of recovery. In this process, members normally begin by admitting they have a problem. Then, you’ll connect to a higher power, sometimes called “God as we understand him.”7 Although 12-Step groups are historically rooted in Christianity, they welcome people of all faiths, including people who don’t ascribe to a specific religion. Nevertheless, the spiritual aspect of this philosophy isn’t right for everyone.

In the process of connecting with a higher power, members then make “a searching and fearless moral inventory”8 of themselves and their lives. This ruthless honesty lays the groundwork for the great changes that come with recovery. By admitting your struggles to yourself, to another person, and to your version of a spiritual source, you may come to a new understanding of your emotional experience.

In Step 9, participants seek to make amends9 to any people they may have hurt, “except when to do so would injure them or others.” Through this process, members begin to consider the effects their actions have on their communities. There is a difference between intent and impact. As you learn more about yourself, you’ll also learn how to meet your needs in a healthy way, while participating in a supportive community.

One goal of the 12 Steps is to achieve a spiritual awakening. Step 12 refers to this directly: “Having had a spiritual awakening as the result of these steps,10 we tried to carry this message to alcoholics, and to practice these principles in all our affairs.” Members are encouraged to meditate, pray, and cultivate an ongoing spiritual practice.

In these groups, you’ll be encouraged to “work the steps” throughout the process of recovery. As you encounter new challenges, you may return to the steps again and again, not always in numerical order. In stressful times, these strategies can help you focus on your goals, avoid relapse, and make the healthiest choices available. The 12 Steps are more than a checklist; they can become a way of life. However, the steps themselves are just one component of recovery. The social aspect of 12-Step groups is also an essential part of the process.

Social Support in 12-Step Programs

Experts agree that social support—or a lack thereof—has an extremely significant impact on people with substance use disorders.11 Some researchers have even postulated that “opioid addiction serves as a substitute for social attachment.” In one study, a subgroup of substance users exhibited “severe negative affect and intense craving” when exposed to perceived social rejection.

This evidence suggests that without community, people in recovery may be especially vulnerable to cravings. Whether or not those cravings lead to relapse, one thing is clear: strong interpersonal relationships are an important part of healing. Because 12-Step groups include a built-in community of people on a similar journey, they may help members get the support they need. Programs like A.A. even encourage members to become sponsors,12 actively supporting people at earlier points in the healing process.

In most residential rehabs, you’ll be in a cohort of people who share some of your life experiences. If your program is based on the 12 Steps, you’ll have even more structured opportunities to give and receive peer-to-peer support. For example, the program at Genesis House is firmly rooted in this philosophy. They treat substance misuse as “a three-fold disease: spiritual, physical, and emotional.” Residents are introduced to the 12 Steps as soon as they arrive. They continue to engage with the steps in individual therapy, and in the evenings they “are transported to local AA/NA meetings…where they will network with others in recovery and learn more about how to stay sober.”

What Is Non-12-Step Recovery?

Although 12-Step groups are extremely valuable for some, they’re not the only way to get community support. One study found that “social networks that support recovery lead to enhanced treatment outcomes and sobriety13 regardless if this support stems from family, peer groups, or 12-Step programs.”

Non-12-Step programs are ideal for people who don’t ascribe to a spiritual practice, or those who simply want a different kind of structure. There are countless approaches to recovery from substance misuse, such as evidence-based treatment, individualized treatment, and experiential therapy. And even without faith in a higher power, it’s possible to heal in a holistic way.

For example, The Holistic Sanctuary in Baja California is a rehab facility with a “natural holistic healing program.” Clients do yoga, receive daily massages, and eat an organic diet. This approach “involves healing the patient’s spiritual health through meditation, catering to their physical health through exercise, and improving their psychological wellbeing through counseling.”

There are as many ways to heal as there are people with substance use disorders. Many clients benefit from a combination approach, attending 12-Step groups while also participating in different therapeutic modalities.

“In the same way that medicines and psychotherapy can go together, AA and 12-Step can go together with in-depth psychotherapy and medications when indicated.”

– Dr. Thomas Gazda, Medical Doctor, Soberman’s Estate

Finding the Right Approach to Treatment

If you’re not sure whether 12-Step treatment is the right fit, you can talk to the admissions team at a rehab center to learn more. These questions may help you find out whether a program aligns with your specific goals for recovery:

  • In this program, is attendance of 12-Step groups mandatory?
  • How much time will I spend in individual therapy, compared to time spent in groups?
  • Do all your one-on-one therapists use the 12 Steps as a framework for recovery?
  • Will I be able to choose my own therapist?
  • Do your 12-Step groups include a sponsorship program?
  • In your philosophy, what does it mean for clients to connect with a higher power?
  • Does your program welcome people of all faiths?
  • Do you connect alumni with local support groups and/or 12-Step meetings after they complete inpatient rehab?

If at all possible, it’s best to know the answers to these questions before you begin residential treatment. The more information you have, the better you can plan for life during and after rehab.

Attending 12-Step Groups After Rehab

​​By design, 12-Step programs are extremely accessible. They’re free, they take place internationally, and they’re open to people at every stage of recovery. A.A., in particular, offers both open and closed meetings.14 Open meetings are available to anyone, including friends and loved ones of alcoholics, who do not have substance use disorders themselves. Closed meetings are only open to people who have substance use disorders, or those who believe that they might and want to learn more.

This accessibility can be especially important for people who have recently completed rehab. When you first graduate from a residential program, you may be in a vulnerable emotional state. Rehab is only the first chapter of a much longer healing process. When you arrive home afterward, you’ll begin establishing new routines, returning to some parts of your life, and letting go of others. Attending group meetings can help you stay grounded while encouraging you to form new relationships with people who live nearby.

A Step in the Right Direction

Whether or not 12-Step recovery is right for you, there’s a great deal to learn from this philosophy. For example, the process of healing from substance misuse is not a solitary one. There are certain aspects of recovery that must be your responsibility, but no one lives in a vacuum. By connecting with the people around you and finding peers who have survived similar struggles, you can learn a great deal about what it means to live a healthy life.

Like any other healing process, the 12 Steps can be a-linear. As you begin recovery, be patient with yourself. There are some lessons you may have to learn more than once, in new contexts or at different times of your life. That type of repetition is normal and even healthy. As you continue to change and grow, it can be helpful to ground yourself with a list of goals or strategies that you’d like to focus on throughout recovery. There may be 12 of them, or 2, or 37. The important thing is to find a way of healing that aligns with your unique values.

To continue exploring various treatment philosophies, you can learn more about rehabs that offer 12-Step programs and non-12-Step treatment.

Frequently Asked Questions About 12-Step vs. Non-12-Step Rehab

What’s the difference between 12-Step and non-12-Step rehab programs?

12-Step rehab programs, like Alcoholics Anonymous (A.A.), follow a structured framework involving admitting a problem, connecting to a higher power, making amends, and achieving a spiritual awakening. Non-12-Step programs offer alternative approaches to recovery, focusing on evidence-based treatments, holistic healing, and individualized therapy.

Are 12-Step groups mandatory in all rehab programs?

The attendance of 12-Step groups varies at different rehabs. Some programs make it mandatory, while others offer a choice between 12-Step and non-12-Step options. It’s important to inquire with the rehab you’re considering about their specific approach to ensure it aligns with your preferences and goals for recovery.

Can non-religious people participate in 12-Step programs?

Yes, 12-Step programs welcome people of all faiths and those who don’t ascribe to a specific religion. While spirituality is a component, it’s not limited to a particular faith. These programs encourage participants to connect with a higher power as they understand it, which can be interpreted in a way that aligns with personal beliefs or values.

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Non-12-Step: A Different Take on Addiction Treatment

12-Step programs have been a popular component of addiction recovery for the past 80 years. There are over 123,000 Alcoholics Anonymous chapters around the world, and introducing yourself in front of a group of A.A. meeting attendees has become virtually synonymous with sobriety. But since its inception in the 1930s, a number of other models of addiction recovery have become available—many of which are secular, evidence-based, holistic or otherwise offer a completely different approach to treatment. If you don’t resonate with the 12-Step approach, you may find other alternatives more appealing.

Common Non-12-Step Therapies

Motivational Enhancement Therapy (MET)

Motivational enhancement therapy1 is designed to encourage internal change. It’s a time-limited intervention that typically involves a handful of sessions. The first session usually opens with an assessment and from there, a therapist advises on coping strategies for high-pressure situations. Your progress is tracked throughout the subsequent sessions. This approach uses motivational interviewing techniques to inspire change, and sometimes involves loved ones in treatment.

Biomedical or Medication-Assisted Therapy

This approach takes a logic-based view of addiction as something “broken” that can be fixed. According to clinicians who use pharmacotherapies, medications can be used to correct chemical imbalances in the brain that may make certain people more susceptible to addiction. One example of this would be Naltrexone, which prevents opioid users from feeling the drug’s narcotic effects to help them taper off it. Antidepressants may be given for co-occurring depression, lowering its tendency to exacerbate an addiction. Medications are often used in conjunction with other approaches, like talk therapy.

Neurofeedback Therapy

Neurofeedback therapy is a non-invasive treatment which involves monitoring the activity of the central nervous system. It’s based on the understanding that the brain can self-regulate. By using EEG sensors to monitor brainwave activity and rewarding the brain for calming itself, neurofeedback therapy “rewires” the neural pathways created during substance abuse, essentially training the brain and nervous system to remain in a calmer state. This approach encourages higher-frequency brain waves, which helps improve mood, focus and energy levels.

acupuncture

Holistic and Alternative Therapies

Holistic therapies are designed to complement and enhance conventional therapies like cognitive behavioral therapy by uplifting your overall state. This may make you more receptive to other aspects of your treatment regimen. They’re designed to enhance your health and entire wellbeing using methods like mindfulness, spirituality, and energy work. In rehab, holistic approaches see addiction as a symptom of broader mental, physical and spiritual unwellness and aim to treat the effects of addiction on those aspects of self. Holistic therapies used to treat addiction come in a variety of forms like massage, yoga and reiki.

Considering a Non-12-Step Program

The 12 Steps work great for some people, but they aren’t the only path to recovery. Certain questions can help guide you on whether a non-12-Step program might be a better fit.

Have you already tried the 12 Steps? If you’ve gone to 12-Step meetings many times before or 12-Step based programs and experienced recurring relapse, it may be time to try something else. Keep in mind that relapse is often part of the recovery process—if you felt momentum with the 12 Steps, then it may be best to stick with it.

book

Are you concerned about co-occurring disorders? The 12 Steps alone is unlikely to fully address trauma, depression, anxiety, and other mental health concerns that may co-occur with addiction. Many rehabs use the 12 Steps alongside other methods. It’s good to check if a rehab center specializes in co-occurring disorders—these are highly complex and require sophisticated treatment.

Explore Non-12-Step Rehab Centers

While the 12 Steps are widely used in rehabs worldwide, you can find many centers that take a vastly different approach to addiction treatment. In fact, many rehabs employ the most innovative treatment methods and specialty programs available. If the 12 Steps didn’t work for you, it may be worth looking into rehab programs with different treatment philosophies. To help with your search, our comprehensive list of non-12-Step rehabs lets you filter by price, amenities, insurance accepted, and more.

Frequently Asked Questions About Non-12-Step Rehabs

What is a non-12-Step rehab?

A non-12-Step rehab doesn’t follow the 12 Steps: a guideline to recovery that involves following designated rules. Non-12-Step rehabs use different models of addiction recovery, such as evidence-based, secular, holistic, and more.

What’s an alternative to 12-Step groups?

Non-12-Step groups provide sober community and emotional support, without following 12-Step principles: 

• SMART Recovery
• LifeRing Secular Recovery
• Secular Organizations for Sobriety (S.O.S.)
• Women for Sobriety
• Moderation Management

… and more.

Do non-12-Step programs work?

Addiction is treatable, and plenty of people find success through non-12-Step programs, like holistic rehabs. If you don’t resonate with the 12-Step approach, it may be beneficial to look into alternatives. There are many pathways to recovery; what works for one person may not work for another.