An Unofficial FAQ on 12 Step Programs

sites • Oct 27, 2020

An Unofficial FAQ on 12 Step Programs

I'd like to preface this post by stating I do not speak on behalf of any 12 step, or peer support program, nor am I speaking as a member of or endorsing any program. Everything below is drawn from my experience as a person in recovery and AJ's experience as a clinician and person in recovery. I encourage all who are interested to read the approved literature from various 12 step groups. You can find a few links below:


Alcoholics Anonymous - https://www.aa.org/pages/en_us/aa-literature

Narcotics Anonymous - https://na.org/?ID=literature

Cocaine Anonymous - https://ca.org/literature/


When it first came out that I had a problem with substances, opiates in particular, my first stop was a psychiatrist that was recommended by my internist. His recommendations in our first session were as follows:


  1. I stop abusing pills.
  2. Take Naltrexone after detoxing to help with cravings and prevent relapse.
  3. Continue with therapy.
  4. Check out 12 step meetings (AA, NA, CA, etc).


All of this seemed reasonable to me except for the advice to check out a 12 step or peer support meeting. At the time, I didn't know anything about 12 step programs except for that I thought they were for losers who couldn't manage their own problems. Harsh, but that was my opinion. Unfortunately, as I posted about a few weeks ago, I overdosed two months later and enrolled in a treatment program.


As I went through the extremely hard work of treatment it became apparent that beating addiction wasn't something that I could, or even wanted to, beat alone. 12 step programs aren't the only way to find peer support in recovery from addiction, but they are the most well known, and the most widely available medium. The goal of this post isn't to convince you that you need a 12 step program to get sober, but rather to provide a resource of common questions that AJ and I hear.


Are 12 Step Programs Religious? What if I don’t believe in God?


Then this is the program for you! Although 12 Step Programs and members of 12 Step Programs mention God, they are by no means religious programs. The 12 step programs are spiritual programs that allows for people of all denominations and levels of faith to participate.  My definition of "spirituality" is living for a greater purpose. It can be as simple as that. If religion, or spirituality feels not right for you, there are specific meetings for atheists and agnostics.


If I take medication prescribed by my doctor am I sober?


Yes.  12 step programs have no opinion on medication taken as prescribed by doctors. However, it is important that any doctor you see knows about your addiction, and understands addiction.


Are sponsors mean?


A sponsor is simply a mentor in sobriety. They are there to help guide you through the 12-steps as they were taken through them and be there for you through ups and downs. If you find that the current sponsor you are working with isn’t exactly fitting right, it is perfectly normal to find sponsorship elsewhere and let that person know that things aren’t working out.


Can you fail out of a 12 step program?


“The only requirement for membership is a desire to stop drinking.” 12 step programs do not have any limitations on who can attend meetings and therefore there is no barometer for not being welcomed. Relapse is a part of the story for many people in long-term recovery and they are always encouraged to come back for support. If you want to stop drinking/using and want sober support and even if you don’t but you are curious, a 12-step program is a safe place.  


Can I still come to meetings without doing the steps?


Absolutely! There is no requirement in order to stay in 12 step programs other than wanting to stop drinking or using. Getting a sponsor is not a prerequisite nor are the steps. They are suggested as ways of helping but are not must-haves.


If I relapse, can I come back?


Not only can you come back, everyone in that meeting would love to see you and hear you!


I haven’t found a meeting that I like, what should I do?

 

This is something that almost everyone can identify with! The best part about 12 step is that there are so many meetings! If the meeting you are going to isn’t exactly your style, our team will sit down with you to figure out exactly what YOU are looking for! With so many options to choose from, there is absolutely a meeting for you!


How do I find a meeting that I like with in person meetings being shut down due to COVID?


The rise of “ZOOM” meetings means you now have even more options! Websites like https://12step.video, and the “Meeting Guide” app aggregate AA and NA meetings from all over the world. You can now attend a meeting anywhere at any time! Matt’s new morning routine includes a cardio workout and joining a meeting.

 

How do I find a sponsor?

 

Great question! Now that you have been attending meetings and have possibly found a home group, finding a sponsor will be a bit easier! The general consensus is that you should seek someone out who “has what you want,” but what does that mean? Looking for someone who has the type of sobriety you want – how they carry themselves, what their spiritual life looks like, how they handle difficult situations, etc. You can always seek someone in particular out at a meeting or you can go to the sponsorship rep at your home group and let them know you are looking for one. If that feels uncomfortable, let us know and we will help!

 

How do I find a sponsor during COVID?

 

With “ZOOM” meetings this has not changed! Every meeting will have a break to discuss sponsorship, and in many meetings people will post their numbers in the chat. Additionally, AJ and Matt are happy to help as well! 


By Nicole Benoist, CPS, CCAR 29 Mar, 2024
As we conclude Women's History Month, I have been thinking about what being a woman means to me at this stage in life. In just a few weeks, I will (hopefully) enter my fourth year of sobriety, a journey that intersects with another milestone: my 50th birthday in November. Reflecting on the woman I have evolved into, I am at peace. The false sense of all-knowing that once dominated my youth has given way to a welcomed uncertainty. My heart is open to the possibilities that life has yet to unveil—undiscovered people, places, and experiences. The path ahead is a beautiful unknown; I'm meeting it with open arms. My sobriety has been transformative, illuminating the brighter paths in life while diminishing the darker trails. Most importantly, it has taught me that my history does not dictate my destiny. My journey through life has given me invaluable lessons about my limitations and the beauty of accepting them. The jewels of my existence—faith, family, career, a close circle of friends, and self-care—finally have the focus they deserve. Through forgiveness, I have learned to cultivate love and compassion for myself. I have discovered the strength to alter the course of my life through persistence, discipline, and patience. My spiritual connection has deepened in unimaginable ways, offering a new perspective on my relationship with God. The complex challenges of parenthood have revealed themselves as both the most demanding and rewarding endeavors of my life, underscoring the inevitability of imperfection. I've found vulnerability is not a weakness but a conduit to genuine connection, understanding, and profound love. As I navigate through life, the narrative of my personal history continues to unfold, prompting introspection about the legacy I aspire to leave behind. The impact of my place in the world becomes of utmost importance—what does legacy mean to me? This question often guides my advice to my children: "Did you leave that conversation, person, or situation better than you found it?" My ambition is that my legacy will be the sum of positive daily interactions and acts of kindness that collectively contribute to a more compassionate world. This reflection is not just a personal testament but a universal invitation to embrace the unknown with grace, to recognize the transformative power of self-acceptance, and to acknowledge the profound influence of individual actions on the fabric of our shared humanity.
By Ailish Abbate, PRC 22 Mar, 2024
To all the women reading this, it's clear that the mantle of womanhood carries an immense burden. Our surroundings incessantly dictate the essence of being a woman, often presenting a paradox: to embody everything yet simultaneously embody the antithesis. The act of womanhood propels us far from our origins, to the extent of erasing the memory of our childhood streets. It nudges us toward oblivion, making us forget our desires, preferences, and identities. Navigating womanhood correctly seems an unattainable feat, pushing us to seek love, acceptance, and validation externally. I, too, succumbed to these norms of womanhood, adhering to expectations that dictated my body size, compliance, and emotional expression. I was taught that self-prioritization is selfish, that expressing emotions is overly dramatic, and that any display of humanity is frowned upon. I believed that to fit in, I had to diminish myself—altering my appearance, interests, and essence. In a world where self-love is an act of defiance, I desperately sought validation elsewhere. My encounter with drugs and alcohol falsely promised me inclusion into the desired mold of womanhood, allowing me to display the traits I believed were necessary. However, this pursuit led me to a breaking point, bending over backward to conform to an imposed standard. Sobriety became the key to liberating my true self, embarking on a journey back to my roots. It has allowed me to reconstruct the meaning of womanhood, celebrating qualities like compassion, strength, intelligence, bravery, sensitivity, and wisdom. The burdens I once bore have been replaced with profound gratitude for the honor of belonging to the extraordinary collective known as women. In celebration of International Women's Day, let's embrace the diversity and strength inherent in womanhood, forging a path of empowerment and self-discovery.
By Nick Dansby, RCP 23 Feb, 2024
February marks the celebration of Black History Month, a time to recognize the invaluable contributions of African Americans throughout history and today. Beyond the achievements and milestones, it’s imperative to shed light on the intersections of mental health within the black community. First-hand experience has exposed the gaps in access to treatment. Historical adversities like slavery and systemic exclusion from leverage, equity, inclusion and basic human rights have left a lasting impact, manifesting as socio-economic disparities and barriers to mental health treatment today. The Connection Between Black History and Mental Health: While mental health conditions don’t discriminate based on race, the challenges of accessing adequate mental health treatment are more common for people of color, particularly African Americans. Misdiagnosis, limited access to healthcare, and the scarcity of African American mental health professionals contribute to a significant disparity in mental health outcomes. After an unprovoked assault in 2017, I was told by a therapist that I had exhibited symptoms of Post Traumatic Stress Disorder (PTSD). However, the follow-up, specialist referral, an official diagnosis and treatment were all lacking. Key Trends: The statistics reveal a harsh reality. African American adults are 20% more likely to experience mental health issues than the rest of the population. Black young people face challenges in accessing mental health services compared to their white counterparts. Only 25% of African Americans seek treatment for mental health issues, in contrast to 40% of Caucasian individuals. Socioeconomic factors further propagate the situation, with those living below the poverty line being three times more likely to report severe psychological distress. The Role of Stigma and Lack of Representation: Misdiagnosis by healthcare professionals, societal stigma, and a shortage of black mental health practitioners contribute to the current plight of access to mental health resources in the black community. The underrepresentation of blacks in mental health professions, as highlighted by the statistics, creates a significant gap in culturally competent care. 6.2% of psychologists, 5.6% of advanced-practice psychiatric nurses, 12.6% of social workers, and 21.3% of psychiatrists are members of underrepresented groups. Remember my therapist who informed me about my PTSD? Well, she was also black. I’ve often wondered if she was equipped to complete a full diagnosis, with recommended treatment. Or did she face barriers in performing her professional duties? Paving the Way for Change: Black History Month serves as a reminder to work continually towards breaking down those barriers for the underrepresented, ensuring equal access to mental health and substance abuse resources. Notable figures like Dr. Solomon Carter Fuller, Dr. Paul Cornely, and Mamie Phipps Clark have paved the way for equitable healthcare, making significant contributions to psychiatry, public health, and psychology, respectively. A Call to Action: As Dr. Martin Luther King Jr. wisely stated, progress requires relentless forward movement. Beyond February, it is our collective responsibility to advocate for equal access and dismantle the barriers preventing adequate mental health care. By building awareness, supporting initiatives that promote inclusivity, and demanding change at all levels, we can contribute to a society where mental health is prioritized for everyone. And, hopefully, we may all experience a world where all voices of positive self advocacy are welcomed and encouraged. Sources: Excerpts and data used from Discoverymood.com, National Alliance on Mental Illness (NAMI), American Psychological Association, American Psychiatric Association, and Plymouth Psych Group
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