First, people who claim that AA/NA teaches you have to be "helpless" may be refering to the first step. It states: "We admitted we were powerless over alcohol - that our lives had become unmanageable."
IMHO, this simply means that you are not able to easily control your use of alcohol or drugs - in my case it was primarily meth. When people say "I haven't had a drink in X years" then it tends to indicate that you don't feel like you can use substances like other people... for you the desire to use is much more powerful, whatever the reason. Otherwise, if you were able to control/have power over your drinking/use, then you wouldn't really have much of an addiction, would you?
Second, and more importantly, why is it impossible to think that you can only use one of these methods? They all provide helpful tools, so I find it much better to utilize a combination of them. This is my experience:
- CBT/ACT/Group/Individual Therapy: many people begin abusing substances because it relieves the pain from other underlying mental issues or depressing experiences, like being neglected throughout your childhood. Talk therapy helps you to work through these experiences and can change the way you view and deal with the world and yourself.
- Medical doctors/ Addiction Specialists: there has been comprehensive research that shows us that substances affect the brains of people with addiction differently than other people. The pleasure/reward circuits are wired so that you more easily bypass rational thought, which is why people feel it is more important than food, hygiene, and sleep and will abandon everything else in their life for that next high. It is powerful biological component. Doctors can also provide drugs in the case of dangerous withdrawals which accompany opiates, alcohol, or benzos.
- AA/NA: these groups are well established and accessible to many people. They are free. They provide you with the ability to find others in you position that you can relate to and rely on when you feel like relapsing. They encourage the use of a sponsor, who you choose, and will help you work your way through the steps. My sponsor, for example, is an engineer like myself and likes to focus on practical things like making amends to people that I've hurt on a daily basis. The program goes beyond philosophical ideals and makes you aware of how your addiction affects other people and teaches you to change many parts of your life. I go to two NA meetings a week and it helps a lot. Sometimes I go to meetings online. Without their network and their hotlines I may have relapsed three or four times.
- SMART Recovery: this is a relatively new group and it definitely appeals to the rational side of me. Their network isn't as big but I meet other engineers/scientists and lawyers with whom I can more easily relate to than some of the hardcore felons I know in other groups. Plus they are free. My friend just started one up in San Diego and it is building in attendance. It is a little too theoretical for me to rely on solely, but it a great alternative to spiritually-based groups. I think it has tremendous potential to keep growing and somebody on this forum just told me they have online meetings.
-Meditation/accupuncture: I've had less success with these methods but I know they work well for a lot of people. Funny story: the one time I tried acupuncture/meditation in group rehab the guy next to me was chronically flatulent. There was new age music playing and every minute this guy would rip ass like no other. Best part was he was trying to play it off like he didn't know who was doing it. I was dying inside from laughter, which helped me through a bad day.
- Rehab: I went to a 90 day program and it incorporated all of the above. It was the single best experience for me. It temporarily isolated me from the shit storm I had created at home and allowed be to come back able to put things back together. Unfortunately, most of the guys I know from there relapsed, but they are still trying. They tell you up front the odds of overcoming addition are not good. I was lucky to have insurance and still attend the outpatient program at my HMO.
-Nutrition: After I quit meth I was severely underweight and malnourished. I suffered injury to my brain, nose, lungs, and heart. Most of it has repaired by now. Essentially, I hadn't ate or slept for years. The longest I went without sleep was 13 days, and I started seeing things and losing touch with reality. When I quit, I ate so much that I became 30 pounds overweight. I eventually learned how to eat better and exercise.
-RUNNING: the only reason I am on this site is because of how much running has helped me during my recovery. It gives me a natural high. I don't want to smoke or put anything bad in my body because I am chasing that next PR. I sleep better, think better, and stay in tune with my body. Two years ago I couldn't run a quarter mile, but I am doing my first HM this weekend.
So, if somebody told me that RUNNING didn't help anybody quit using drugs, made fun of my beliefs and experience, and gave me a bunch of discouraging studies, then I'd say "thank you and I'm sorry it didn't help you." I know it helps me and it doesn't hurt anybody around me. Next I'd ask what DID work for them because I might want to incorporate it in my life.
This is why I don't understand the need to tear down any of these alternatives. I relapsed after 10 years of sobriety because I stopped doing any of these things. So, if they help one person stop from ruining their lives and possibly hurting or killing other people in society, then is it such a bad thing?