Alternative Support Groups

by Arthur T. Horvath, Ph.D., ABPP

Question: I have heard that in recent years alternatives to AA (Alcoholics Anonymous) have emerged, with approaches that are quite different from AA's. Can you tell me the names of these groups, how they are different, and where to contact them?

In the last two decades six alternative support groups for addictive behavior have emerged. These groups are: Women for Sobriety (WFS), Rational Recovery Systems (RR), Moderation Management (MM), Men for Sobriety (MFS) (same as Women for Sobriety), Secular Organizations for Sobriety/Save Our Selves (SOS), and S.M.A.R.T. Recovery (SMART).

These six organizations are similar to AA in that they offer free groups (donations are requested) with the goal of helping members achieve abstinence (MM supports moderation). They are also quite different from AA. They neither encourage nor discourage belief in a higher power. None (except WFS/MFS) emphasizes the idea that substance problems are diseases. They focus instead on these problems as complex maladaptive behaviors. They use a small group discussion format, not a series of monologues. They do not use sponsors (a personal recovery coach you meet with between meetings). They do not encourage lifetime attendance.

Despite their similarities, there are also significant differences between these six groups. To mention just two: WFS is only for women with alcohol, or alcohol and other drug problems; SMART focuses on any addictive behavior. I've put the telephone numbers, addresses, and online addresses in the Links and Lists section. Check 'em out! If you've had concerns about your drinking or other drug use, there's something here for you.