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Why Is It So Hard to Stay Sober? – Vicki Tidwell Palmer LCSW, CSAT

According to the American Society of Addiction Medicine (ASAM), addiction is characterized by: “an inability to consistently abstain, impairment in behavior control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response.” The “inability to consistently abstain” is a concept that sometimes confuses loved ones and family members of addicts. They wonder, “How can we ever expect the addict to establish and maintain sobriety if ‘addiction’ means that’s something he can’t do?” This confusion is understandable. What ASAM really means is that on their own addicts lack the ability to consistently abstain from addictive behaviors. They struggle to establish and maintain sobriety without help. Most addicts would stop their compulsive behaviors on their own if they could, but they can’t. An addict’s inability to establish and maintain sobriety manifests in many ways. For instance, he might make promises to himself and others (loved… Continue reading