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Recovery pathways
Two kinds of free peer support that people compare: SMART Recovery and 12-step fellowships. Neither is ranked above the other. This is Level 2 information, with Level 3 care-taking notes. This page does not diagnose anything or give medical advice.
Safety first
- Alcohol and some drugs, including benzodiazepines and opioids, can cause dangerous withdrawal. Talk to a doctor before stopping suddenly.
- In crisis in the U.S.: call or text 988. For immediate danger, call 911.
- For help finding care: the SAMHSA National Helpline, 1-800-662-HELP (4357), TTY 1-800-487-4889. 24 hours a day, 7 days a week. Free. English and Spanish. samhsa.gov ↗ Last checked 2026-10-08
- Mutual-help groups are peer support. They are not medical or clinical care.
SMART Recovery
A skills-based mutual support program for substances and other habits. Its meetings are free. Check their site for formats, length, and how to give.
The 4-Point Program, from SMART Recovery ↗ Last checked 2026-10-08
- Build and maintain motivation. List your reasons for change. Compare the costs and benefits of using and of not using.
- Cope with urges and cravings. Urges are common. People describe riding the wave, delaying, distracting, or re-reading their cost-benefit list. Support continues after a lapse.
- Manage thoughts, feelings and behavior. Spot beliefs that feed the habit. A tool called ABC looks at an event, a belief about it, and the consequence. Coping statements are short phrases to say to yourself.
- Live a balanced life. Set small, medium and long-term goals. Build activities and supports that matter to you, and healthy limits.
Ideas in this library that fit alongside it: breathing, grounding, journaling, sleep and movement.
12-step fellowships
Peer fellowships built around twelve steps, meetings, and often a sponsor. Alcoholics Anonymous is for alcohol, Narcotics Anonymous for drugs, and Al-Anon for families and friends. Check each group’s site for how it works.
Read the official steps at aa.org/the-twelve-steps ↗. Below is a short summary in our own words. It does not reproduce AA’s text, which is copyrighted. Last checked 2026-10-08
- Step 1: Recognising that drinking or using has taken over and life feels hard to manage.
- Step 2: Finding hope in something larger than yourself. Each person defines this for themselves.
- Step 3: Choosing to rely on that source of support.
- Step 4: Taking an honest look at your own patterns.
- Step 5: Talking that look over with another person.
- Steps 6 and 7: Getting ready to let go of harmful habits, and asking for help to change.
- Steps 8 and 9: Listing people who were hurt, and making amends where doing so would not cause more harm.
- Step 10: Checking in with yourself on an ongoing basis.
- Step 11: A practice of prayer or meditation, in whatever form fits you.
- Step 12: Sharing what you have learned with others, and living by these principles.
If spiritual language is not for you: the higher power is described as personal, and some people prefer a secular group. Check their site for what is offered near you.
Side by side
| SMART Recovery | 12-step | |
|---|---|---|
| Approach | Skills-based tools in a 4-Point Program | Twelve steps, meetings, and often a sponsor |
| Spiritual content | Check their site | The steps refer to a higher power, which each person defines. Check their site for more. |
| Goal | Check their site | Check their site |
| Structure | Facilitated meetings. Check their site for formats and length. | Check their site |
| Cost | Meetings are free | Check their site |
| Can you use both? | Many people compare options and some use more than one. Talk with a clinician if you want to add professional care. | Same as the left. |
Finding a meeting
We only link out. Also see the Level 3 directory on the archive home page.
Check their site for the meeting finder.
www.smartrecovery.org ↗Last checked 2026-10-08For families and friends of people who drink. Check their site for the meeting finder.
al-anon.org ↗Last checked 2026-10-08Note for clinicians and careful readers
Level 3 · Check carefully. We have not yet added a vetted source for how well either approach works, so this page makes no claim about it. Evidence for the two approaches differs in size and kind. When one is added, it will name the study, who was studied, and how strong the evidence is. Until then, ask a clinician.
Last checked 2026-10-08
Sources and review dates
This page does not diagnose or treat anything. This page does not save what you choose, and it has no forms, accounts, or mood data. Like most websites, our hosting provider may keep standard server logs. Links open other sites, which have their own policies.
- NIMH: Caring for your mental health (reviewed 2026-10-08)
- OpenStax (reviewed 2026-10-08)
- MedlinePlus (reviewed 2026-10-08)
- Biodiversity Heritage Library (reviewed 2026-10-08)
- Project Gutenberg (reviewed 2026-10-08)
- SAMHSA National Helpline (reviewed 2026-10-08)
- SMART Recovery 4-Point Program (reviewed 2026-10-08)
- AA: The Twelve Steps (reviewed 2026-10-08)