I think once you've reached the point of physical dependence on alcohol abstinance is the only option. I know harm reduction was never an option for me.

That being said, my rehab offers two treatment streams, one abstinance based, and one harm reduction. I have seen some people who would be classed as problem drinkers, usually after some specific event triggered them to begin abusing alcohol, with time use harm reduction to bring their drinking down to reasonable levels.

I don't know where this stat comes from, I've just heard my addictions Dr. say it a number of times, that approx. 4% of the population with a substance abuse disorder are able to reduce their use and maintain use at a safe level.

Oh and I'm in Canada by the way. Most treatment centres here stress total abstinance.

splitimage