General Discussion
In reply to the discussion: This message was self-deleted by its author [View all]H2O Man
(78,993 posts)are to follow the recommendations of a counselor or therapist. That recommendation can include any number of things, such as in-patient treatment, 12-step programs, and/or ongoing appointments with the counselor/ therapist. Due to the comorbidity of addiction/ substance abuse and mental illness, it could include evaluation by a psychiatrist or psychologist.
12-step and related programs can be helpful to a significant number of people. But that does not translate well for everyone, of course, for a wide variety of reasons. And they tend to have less success with people who are court-ordered, which includes an order to follow the recommendations of the counselor/ therapist.
It's interesting to note that the first AA program was not started by "Bill," but by the Iroquois leader Handsome Lake in 1798. Likewise, in the 1960s and early '70s, the Nation of Islam had the highest success rate for dealing with addiction (including heroin use).