This is the only requirement for membership in a Twelve Step fellowship.
What is the desire to stop using alcohol or other drugs?
According to the text, the Twelve Steps are not rules to be memorized, but are best described as a collection of these.
What are suggestions (or a road map)?
Known by the abbreviation MAT, this approach combines prescription medications with behavioral therapy to provide a whole-patient recovery plan.
What is medication-assisted treatment?
According to an old saying by Bernard Meltzer, this person is someone who "knows the song in your heart and can sing it back to you when you have forgotten the words".
What is a friend?
The text explicitly warns against this social habit by noting that an individual dealing with addiction "alone is in bad company."
What is isolation
Often recited at the beginning or end of meetings, this text asks for the serenity to accept things that cannot be changed.
What is the Serenity Prayer
This specific Step is described as a "safety valve" because it helps relieve the painful feelings that come from taking a personal inventory.
What is Step 5 or "Admitted to God, to ourselves, and to another human being the exact nature of our wrongs"
This specific medication, also known as Campral, helps individuals with alcohol addiction maintain sobriety by reducing post-acute withdrawal symptoms.
What is acamprosate?
This body chemical, which helps to reduce stress and build trust, is produced naturally through touch associated with positive relationships.
What is oxytocin?
This guidelines section mentions that you can call supportive people at any timeāeven when you are not actively struggling.
What is telephone therapy
This alternative group uses principles drawn from cognitive-behavioral therapy and expects members to stop attending meetings once sober.
What is SMART recovery?
Step Eleven uses this conversational analogy for spiritual practices, defining one as "talking to your Higher Power" and the other as "listening".
What are prayer and meditation
Rather than daily tablets, this monthly extended-release injectable form of naltrexone helps patients improve their medication compliance.
What is vivitrol?
Developed at Boston University, this evaluation tool (abbreviated RPRS) is used to judge a mental health provider's recovery-oriented performance.
What is the Recovery Promoting Relationships Scale?
Often overlooked in recovery, this physical activity reduces cravings and should be done as part of a structured program.
What is exercise?
Founded by James Christopher in 1986, this alternative organization views spirituality as a separate issue from sobriety and hosts 90-minute discussion meetings.
What is Secular Organizations for Sobriety (or SOS)?
The text outlinesseven basic principles behind the program, including making restitution, doing service, taking inventory, and this final one.
What is taking it one day at a time?
This slow-acting opioid agonist is noted in the text as the preferred medication-assisted treatment method for opioid dependence in pregnant women.
What is methadone?
Research shows that this specific type of dysfunction is a leading reason why people decide to stop taking certain psychiatric medications.
What is sexual dysfunction?
This internal emotional state is identified as a strong potential trigger, which is why developing new interests is highly encouraged.
What is boredom?
This specific type of Twelve Step fellowship is designed for "dually diagnosed" individuals who are managing both an addictive substance problem and a mental health disorder.
What is Double Trouble in Recovery (DTR), Dual Diagnosis Anonymous (DDA), or Dual Recovery Anonymous (DRA)?
In the explanation of Step Four, the document notes that active addiction can shift priorities, turning normal desires for self-protection into this negative trait.
What is selfishness
To prevent misuse by snorting or injection, the partial opioid agonist buprenorphine is often combined in an oral dose with this opioid antagonist.
What is naloxone?
In Steve Harrington's featured essay, he uses this specific everyday food item as a metaphor for a repetitive, unfulfilling life that people settle for out of fear of change.
What is a ham and cheese sandwich
To emphasize compliance, the instructions for this specific guideline tell the reader to "get out of the driver's seat" and let the treatment team lead.
What is Follow Directions