A Cochrane review of 27 studies found that manualized 12-step facilitation produces rates of continuous abstinence that match or exceed other well-established treatments, and it is usually cheaper because meetings are free.[1] Research on AA also shows the benefit comes largely from what happens around the steps — a sober network, coping skills, and confidence you can handle a hard day without drinking.[2]
What the evidence does not say is that it's the only thing that works. Medication for opioid or alcohol use disorder, CBT, DBT and trauma treatment all have their own evidence base, and they combine well with a fellowship.[3]
You are in recovery on medication. Anyone who tells you otherwise in a meeting is speaking for themselves, not for the evidence. See our article on Sublocade and MAT.
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