Treatment of Alcohol Use Disorder: Integration of Alcoholics Anonymous and Cognitive Behavioral Therapy

Alcohol use disorders (AUDs) are among the most common psychological disorders experienced by Americans. Only 10% of individuals with this disorder receive treatment. and the most popular treatment is some form of 12-Step involvement. Although there is evidence for the efficacy of 12-Step treatment, most AUD treatment providers are not well versed in 12-Step principles and practices. Recent work suggests that clinicians and training directors do not feel confident in their knowledge about and training in 12-Step programs. This concern is not new, and programs have struggled to find ways to help trainees bridge this knowledge gap in a way that would be beneficial to clients. Therefore, the current article seeks to address this by clarifying common misconceptions about Alcoholics Anonymous (AA). describing AA's conceptualization of alcoholism, and its goal. We also offer a number of ways in which the 12-Steps share principles and skills/techniques with cognitive behavioral therapies for AUD. Finally, we provide training recommendations for closing the training gap through increased trainee exposure to 12-Step programs and interprofessional training opportunities. It is our hope that once AUD treatment providers understand that the 12-Steps are meant to accomplish similar goals using similar techniques to Evidence Based Practices (EBPs) for AUDs, they will be able to provide more integrated, or at least less disparate, treatments to individuals with AUDs.