How to Quit Drinking: A Research-Grounded Practical Guide
First — Safety Check
If you drink heavily every day, read this section before anything else.
Stopping alcohol suddenly can be dangerous — even life-threatening — for people who drink heavily every day. When your body has adapted to alcohol over weeks or months, abrupt cessation can trigger alcohol withdrawal syndrome, which can include seizures and a condition called delirium tremens (DTs). This is a medical emergency, not a willpower problem [1].
Before you quit cold turkey:
- Talk to a doctor, nurse practitioner, or physician assistant
- Call SAMHSA's National Helpline: 1-800-662-HELP (4357) — free, confidential, 24/7
- Go to an emergency department if you are already shaking, sweating, or feeling confused after not drinking
Medical detox is available. Much of it is outpatient — meaning you don't have to be admitted to a hospital. A doctor can prescribe medications to make withdrawal safe and manageable.
How to Tell If You Need Medical Detox
You are more likely to need medical supervision if any of these apply to you:
- You drink 6 or more drinks per day, most days, for weeks or months
- You have had withdrawal symptoms before — shaking, sweating, anxiety, hallucinations, or seizures when you stopped or cut back
- You have other health conditions — liver disease, heart problems, diabetes, HIV, or a history of seizures
- You are already feeling symptoms after going several hours without a drink
All four major international clinical guidelines — NICE, ASAM, WFSBP, and APA — recommend benzodiazepines as the first-line treatment for alcohol withdrawal. Thiamine (vitamin B1) must also be given to prevent a serious brain condition called Wernicke-Korsakoff encephalopathy [1].
When in doubt, ask a doctor. Outpatient detox is widely available and often covered by insurance. You do not have to go through this alone, and you do not have to be hospitalized to get safe care.
Note: The research in this guide does not include validated scoring tools (like the CIWA-Ar scale) for determining exactly who needs inpatient versus outpatient detox. That decision requires a clinical assessment. This is a genuine gap — and one more reason to talk to a professional rather than make that call yourself.
Pharmacotherapy — What Most People Don't Know
Here is something that surprises most people: FDA-approved medications exist for alcohol use disorder (AUD), they work, and fewer than 10% of people who could benefit from them actually receive them.
These medications are not addictive. They do not get you high. They work by changing how your brain responds to alcohol — reducing cravings, reducing the reward of drinking, or making drinking unpleasant.
If you have tried to quit or cut back before and struggled, medication may be the missing piece. You can ask your primary care doctor to prescribe these. You do not need to see a specialist.
The Main Medications in Plain Language
Naltrexone — Blocks the "Buzz"
Naltrexone works by blocking opioid receptors in the brain — the same receptors that make alcohol feel rewarding. When you drink on naltrexone, the pleasurable effect is reduced. Over time, this can reduce cravings and heavy drinking episodes.
- Available as a daily pill or a monthly injection (Vivitrol)
- Research from the COMBINE study shows naltrexone differentially improved continuous abstinence rates for very frequent drinkers [2]
- In women with HIV and unhealthy alcohol use, naltrexone showed early superiority over placebo at 1 and 3 months [3]
- People who drink primarily for the reward (the buzz, the pleasure) may respond especially well [4]
Acamprosate — Quiets the Restlessness
Acamprosate works differently. It doesn't block the buzz — it reduces the anxiety, restlessness, and discomfort that many people feel in the weeks and months after stopping. It helps your brain chemistry rebalance.
- Taken as a pill three times daily
- Benefits very frequent drinkers — increasing their chance of abstinence from heavy drinking [2]
- Important warning: For people who were daily drinkers but had already achieved two or more weeks of abstinence before starting treatment, acamprosate was associated with worse outcomes than placebo [2]. Tell your doctor how long you have already been sober before starting this medication.
Disulfiram — Makes Drinking Unpleasant
Disulfiram (Antabuse) works as a deterrent. If you drink while taking it, you will feel very sick — flushing, nausea, vomiting, rapid heartbeat. It works best for people who are highly motivated and want a strong external brake.
- Taken as a daily pill
- Requires commitment and ideally some external accountability
- Not appropriate for everyone — discuss with your doctor
Off-Label Options — Gabapentin and Topiramate
These medications are not FDA-approved specifically for AUD, but doctors can prescribe them, and there is research supporting their use.
Topiramate is another option your doctor may discuss, particularly if other medications haven't worked.
Behavioral Help — Therapy
Medication works better when combined with behavioral support. But behavioral treatment alone also works — and for many people, it is the primary path.
Cognitive Behavioral Therapy (CBT) helps you identify the thoughts, feelings, and situations that trigger drinking, and build practical skills to respond differently. It is one of the most well-studied approaches for AUD.
Internet-based CBT (iCBT) — delivered through websites or apps, with or without a therapist — produces non-inferior to superior abstinence results compared to standard treatment for AUD [5]. It can be self-guided, therapist-guided, or blended. This matters enormously for access: you don't need to live near a specialty clinic to get evidence-based behavioral treatment.
One integrated program combining telemedicine CBT with naltrexone showed participants increasing abstinent days from 13% to 59% of days, with 85% treatment completion [6] (Note: this specific figure could not be independently verified against the source abstract — the underlying study supports the general finding but the exact number should be confirmed before publication).
Motivational Interviewing (MI) is a conversation-based approach that helps you clarify your own reasons for changing. Higher motivation to change was significantly associated with higher percent days abstinent (F(1,49) = 8.12, p < 0.01) during a quit attempt [7]. Many primary care doctors and therapists are trained in MI.
Mindfulness-Based Relapse Prevention (MBRP) teaches you to observe cravings without acting on them. A randomized trial found significant reductions in drinks per drinking day over time (B = -0.535, p = 0.001), with more sessions attended linked to better outcomes [8]. MBRP is now available via telehealth, with an ongoing trial showing 86% retention at 6-month follow-up [9] (Note: this specific figure could not be independently verified against the source abstract — the underlying study supports the general finding but the exact number should be confirmed before publication).
DBT Skills Training — originally developed for emotional regulation — maps onto different stages of the addiction cycle and can be used as a standalone or add-on approach [10].
How to access therapy:
- Ask your primary care doctor for a referral
- Search for telehealth therapists (Psychology Today, Headway, Open Path Collective)
- Community mental health centers often offer sliding-scale fees
- SAMHSA's helpline (1-800-662-4357) can connect you to local resources
Mutual Aid Groups
You don't have to do this alone — and you don't have to do it in any particular way. Multiple mutual aid options exist, and research supports several of them.
SMART Recovery uses CBT-based tools and is secular (no higher power required). In a randomized trial, SMART Recovery meetings — alone or combined with the Overcoming Addictions web application — produced large within-subject effect sizes (d > 0.8) on percent days abstinent, drinks per drinking day, and alcohol-related consequences at 3- and 6-month follow-ups [11].
Alcoholics Anonymous (AA) is the most widely available 12-step program. It is free, in-person and online, and has helped millions of people. The research corpus for this guide did not include direct comparative effectiveness data on AA versus other approaches — that is an honest gap.
Other options include:
- Refuge Recovery — Buddhist-informed, mindfulness-based
- Women for Sobriety — specifically designed for women
- LifeRing — secular, self-directed
- Online communities — Reddit's r/stopdrinking, Tempest, Reframe, sober Instagram communities
Try several. Different groups fit different people. The evidence supports pathway pluralism — there is no single "right" way to recover [11].
Cold Turkey vs. Taper
For light or moderate drinkers (1–3 drinks per day, no history of withdrawal symptoms): stopping abruptly is generally safe. You may feel uncomfortable for a few days, but you are unlikely to be in medical danger.
For heavy daily drinkers: cold turkey is risky. Your options are:
- Medical detox — a doctor prescribes a benzodiazepine taper to safely manage withdrawal. This is the safest option [corpus-gap].
- Supervised outpatient taper — a doctor monitors you as you gradually reduce your drinking over days.
- Self-tapering with alcohol — this is generally not recommended. Most people find it very difficult to control the taper, and it often fails.
If you are not sure which category you fall into, ask a doctor. That is the right answer here.
Abstinence vs. Moderation
Abstinence is the highest-yield goal for people with severe AUD. If you have been drinking heavily for years, have had withdrawal symptoms, or have tried moderation before and it didn't hold, abstinence is likely the safer and more sustainable path.
Moderation can be a realistic goal for people with mild to moderate alcohol problems. Drinking reduction — not just abstinence — is a valid, evidence-supported goal [9]. Even partial reductions in drinking produce real health benefits. In women with HIV, those who reduced or quit drinking showed improved HIV viral suppression at 4 and 7 months (72% vs. 53% and 74% vs. 54%) compared to those who continued drinking [3].
If moderation is your goal:
- Track your drinking honestly — every drink, every day
- Set specific limits before you start drinking, not during
- Use a structured app (Reframe, Sunnyside, Drinks Meter) to monitor patterns
- Be willing to switch to abstinence if moderation doesn't hold after a genuine try
You don't have to commit to "forever" to start. Many people begin by testing a period of abstinence — a month, 90 days — and see what changes.
What Relapse Means
Relapse is common. Approximately 60% of people relapse in the first year of recovery. This is not a character flaw. It is a feature of how addiction works in the brain, and recovery often takes multiple attempts.
A slip (one drink) does not have to become a relapse (return to your old pattern). The moment after a slip is a decision point, not a verdict.
If you relapse:
- Get back to your plan as soon as possible
- Tell someone — your doctor, a sponsor, a friend in recovery
- Consider medication if you are not already on it — this is one of the most evidence-supported adjustments you can make after a relapse
- Treat the relapse as information: What triggered it? What was missing from your plan?
Staying connected with family and friends was the most-endorsed recovery maintenance strategy in a national survey of adults in recovery (endorsed by 49.7% of women and 36.1% of men) [12] (Note: this specific figure could not be independently verified against the source abstract — the underlying study supports the general finding but the exact number should be confirmed before publication). Social connection is not a soft add-on — it is a core recovery tool.
What to Expect — First Week
The first week is often the hardest. Here is what is normal:
- Sleep disruption — difficulty falling asleep, vivid dreams, waking early
- Anxiety and irritability — your nervous system is recalibrating
- Sweating, shakiness, headache — common in the first 24–72 hours
- Cravings — they peak early and come in waves; each wave passes
Sleep and drinking have a bidirectional relationship: worse sleep predicts heavier drinking the next day, and heavier drinking predicts worse sleep [13]. Protecting your sleep in the first week matters.
Practical steps:
- Drink plenty of water and eat regularly — your body is working hard
- Avoid driving if you have been prescribed a benzodiazepine for withdrawal
- If physical symptoms are severe (shaking, confusion, fever, hallucinations) — get medical care immediately
First 30 Days
By the end of the first month, most people notice:
- Sleep slowly improving
- Energy beginning to return
- Mood may still be low — this is normal and has a name: post-acute withdrawal syndrome (PAWS). It can include anxiety, depression, difficulty concentrating, and mood swings. It is temporary.
- Cravings come in waves but are usually shorter and less intense than week one
What helps:
- Avoid high-risk environments (bars, certain social situations) while your defenses are still building
- Identify replacement activities — exercise, hobbies, social connection
- If you haven't yet talked to a doctor about medication, now is a good time
- Engage with a mutual aid group or iCBT program if you haven't already [corpus-gap]
First 90 Days
By 90 days, many physiological benefits are measurable:
- Better sleep quality
- Improved liver enzyme levels
- Mental clarity returning
- Weight changes (often loss, as alcohol is calorie-dense)
Cravings become less frequent but can spike sharply around triggers — specific people, places, emotions, or times of day. This is normal and expected.
What helps:
- Identify your high-risk situations and make a specific plan for each one
- Continue medication if it is working — don't stop because you feel better
- Add MBRP or CBT if you haven't already — these are particularly valuable as relapse prevention tools at this stage [8]
- Address co-occurring issues: chronic pain, anxiety, tobacco use. These are not separate problems — they actively sustain drinking. Pain-related beliefs about alcohol accounted for 16–19% of variance in hazardous drinking [14]. Tobacco use was significantly associated with lower readiness to quit alcohol [15].
First Year
Your brain's reward system is slowly recalibrating. This takes time — often longer than people expect.
Some people find 6 months particularly difficult. PAWS can resurface. Motivation can dip. Life stressors don't pause for recovery.
What sustains recovery over a year:
- Sleep — protect it actively
- Exercise — even moderate physical activity supports mood and reduces cravings
- Social support — staying connected with people who support your recovery [12]
- Meaning and routine — structure reduces the space that drinking used to fill
- Continued medication if it is working — there is no medal for stopping medication early
Drinking motives matter here too. If you drank primarily to cope with negative emotions (relief/habit drinking), you may need more support around emotional regulation than someone who drank primarily for social pleasure [4]. DBT skills — particularly distress tolerance and emotion regulation — can be especially useful [10].
Beyond One Year
Long-term recovery looks like ordinary life with one variable removed. The intensity of active recovery work decreases for most people, but maintenance is real.
Watch for high-risk transition periods:
- Job loss or change
- Relationship endings or conflict
- Grief and loss
- Holidays and anniversaries
- Periods of isolation
Many people in long-term recovery maintain some involvement in mutual aid, therapy, or online communities — not because they are fragile, but because connection and accountability are genuinely protective.
How to Ask for Help
Tell your primary care doctor. You can say exactly this: "I want to talk about my drinking." That is enough. They can:
- Screen you for AUD severity
- Prescribe naltrexone, acamprosate, or other medications
- Refer you to therapy or a detox program if needed
- Provide a brief intervention that itself can initiate change [15]
If you don't have a primary care doctor:
- Community health centers (federally qualified health centers) serve patients regardless of insurance
- Telehealth — many platforms can prescribe AUD medications via video visit
- SAMHSA National Helpline: 1-800-662-HELP (4357) — free, confidential, 24/7, available in English and Spanish
If You Don't Want to Stop Forever
That is okay. You don't have to commit to "forever" to start.
Many people begin with a structured experiment: a month without drinking, a "sober curious" period, or a Dry January. Track what changes — your sleep, your mood, your energy, your anxiety, your weight, your relationships. Let the data inform your decision.
The evidence supports reduction as a meaningful goal, not just abstinence [9]. Even cutting back significantly produces real health benefits. And many people who start with "just a month" find that the benefits are compelling enough to continue.
You are allowed to start small. You are allowed to change your goal as you learn more about yourself.
Online and Telehealth Options
Telehealth has made AUD treatment dramatically more accessible. You can now:
- Get a prescription for naltrexone or acamprosate via a video visit with a doctor
- Access iCBT programs — self-guided or therapist-supported — from home [5]
- Join online mutual aid — SMART Recovery has online meetings; r/stopdrinking on Reddit has over 700,000 members
- Use structured apps — Reframe, Sunnyside, and Tempest offer tracking, community, and content
Honest caveats: Quality varies. Some apps are well-designed; others are marketing products. Look for programs grounded in CBT, motivational interviewing, or mindfulness — these have the strongest evidence base. A text-message-based intervention (YourCall) showed some promise in a New Zealand trauma ward study [16], though the evidence base for SMS-only approaches is still developing.
Triggers and How to Handle Them
Triggers are the people, places, emotions, and times that make you want to drink. They are not weaknesses — they are learned associations that your brain built over years of drinking. They can be unlearned, but it takes time and practice.
Common triggers:
- People — drinking friends, certain family members, social situations
- Places — bars, certain rooms in your home, restaurants
- Emotions — anger, sadness, loneliness, boredom, and even joy and celebration
- Times — after work, Friday evenings, holidays, anniversaries
What to do:
- Plan ahead — know your triggers before you encounter them
- Have an exit strategy — it is okay to leave early
- Have a social script — "I'm not drinking tonight" is a complete sentence
- Identify alternatives — what can you do instead in that moment?
- Use urge surfing — observe the craving without acting on it; it will pass [corpus-gap]
Emotional coping and social factors are primary drivers of drinking persistence, particularly for women [11]. If emotions are your main trigger, therapy — especially DBT or CBT — is particularly worth pursuing.
Family and Friends
The people around you can be your greatest asset in recovery — or they can accidentally undermine it, usually without meaning to.
What helps:
- Being honest with at least one person about what you are doing
- Asking for specific support (driving you somewhere, checking in, not offering you drinks)
- Not expecting them to police you — that dynamic usually backfires
What to know:
- Some family members benefit from Al-Anon — a support group for people affected by someone else's drinking
- Couples therapy can help repair damage done during drinking years and build a new relationship dynamic
- If family members drink heavily themselves, that is a significant risk factor for your own relapse — this may need to be addressed directly
Workplace
Some workplaces have strong drinking cultures. This is a real challenge, not an excuse.
Practical options:
- Employee Assistance Programs (EAPs) — most medium and large employers offer these. They provide confidential referrals to counseling and treatment. Your employer does not find out what you discuss.
- ADA protections — the Americans with Disabilities Act covers people in treatment for AUD. You cannot be fired for seeking treatment.
- Telehealth — if your workplace makes in-person treatment difficult, telehealth removes many barriers
Cost and Insurance
Most insurance covers AUD treatment under the Affordable Care Act's mental health and substance use disorder parity requirements. This includes:
- Medical detox
- Outpatient treatment programs
- Therapy
- Medications
Medication costs:
- Naltrexone pill: approximately $50/month or less; often covered by insurance
- Naltrexone injection (Vivitrol): more expensive, but covered by many insurance plans
- Acamprosate and disulfiram: generally inexpensive generics
- Gabapentin: inexpensive generic
If you are uninsured:
- SAMHSA administers grants for substance use treatment for uninsured and underinsured people
- Federally Qualified Health Centers (FQHCs) offer sliding-scale fees
- Call 1-800-662-HELP to find local options
A Note on What This Guide Cannot Tell You
This guide is grounded in real research, and we have tried to be honest throughout about what the evidence does and does not show. Here are the genuine gaps:
- We cannot tell you exactly who needs inpatient versus outpatient detox — that requires a clinical assessment with validated tools like the CIWA-Ar scale, which are not covered in the research base for this guide [corpus-gap]
- We cannot tell you which behavioral tool is best for which baseline drinking severity — the research on iCBT, MBRP, and SMART Recovery does not stratify outcomes by how heavily people were drinking before they started [corpus-gap]
- We have limited long-term data — most studies follow people for 6–12 months; what happens at 3 or 5 years is less well-documented
These gaps are not reasons to do nothing. They are reasons to work with a clinician who can make individualized assessments — and to be patient with yourself as you figure out what works for you.
If you are in crisis right now, call or text 988 (Suicide and Crisis Lifeline) or call SAMHSA at 1-800-662-4357. Help is available.
Verified References
- [16] Ameratunga, Shanthi, Kool, Bridget, Sharpe, Sarah et al. (2017). "Effectiveness of the YourCall™ text message intervention to reduce harmful drinking in patients discharged from trauma wards: protocol for a randomised controlled trial.". BMC Public Health. DOI: 10.1186/s12889-016-3967-z [abstract-verified: partial]
- [13] Baskerville, Wave-Ananda, Grodin, Erica N, Ray, Lara A (2024). "Influence of sleep quality on lapse to alcohol use during a quit attempt.". Alcohol Alcohol. DOI: 10.1093/alcalc/agae009 [abstract-verified: partial]
- [11] Campbell, William, Hester, Reid K, Lenberg, Kathryn L et al. (2016). "Overcoming Addictions, a Web-Based Application, and SMART Recovery, an Online and In-Person Mutual Help Group for Problem Drinkers, Part 2: Six-Month Outcomes of a Randomized Controlled Trial and Qualitative Feedback From Participants.". J Med Internet Res. DOI: 10.2196/jmir.5508 [abstract-verified: partial]
- [3] Cook, Robert L, Zhou, Zhi, Miguez, Maria Jose et al. (2019). "Reduction in Drinking was Associated With Improved Clinical Outcomes in Women With HIV Infection and Unhealthy Alcohol Use: Results From a Randomized Clinical Trial of Oral Naltrexone Versus Placebo.". Alcohol Clin Exp Res. DOI: 10.1111/acer.14130 [abstract-verified: yes]
- [12] Gilbert, Paul A, Soweid, Loulwa, Holdefer, Paul J et al. (2023). "Strategies to maintain recovery from alcohol problems during the COVID-19 pandemic: Insights from a mixed-methods national survey of adults in the United States.". PLoS One. DOI: 10.1371/journal.pone.0284435 [abstract-verified: yes]
- [2] Gueorguieva, Ralitza, Wu, Ran, Donovan, Dennis et al. (2011). "Baseline trajectories of drinking moderate acamprosate and naltrexone effects in the COMBINE study.". Alcohol Clin Exp Res. DOI: 10.1111/j.1530-0277.2010.01369.x [abstract-verified: yes]
- [5] Gushken, Fernanda, Costa, Gabriel P A, de Paula Souza, Anderson et al. (2025). "Internet-based cognitive behavioral therapy for alcohol use disorder: A systematic review of evidence and future potential.". J Subst Use Addict Treat. DOI: 10.1016/j.josat.2025.209627 [abstract-verified: yes]
- [15] Harris, Spencer C, Al-Yassin, Sarmed, Chaudhari, Rahul B et al. (2025). "Tobacco use, cirrhosis, and age are predictors of readiness to change and continued drinking following brief alcohol intervention in veterans.". Liver Transpl. DOI: 10.1097/lvt.0000000000000536 [abstract-verified: yes]
- [4] Kady, Annabel, Grodin, Erica N, Ray, Lara A (2024). "Characterizing reward and relief/habit drinking profiles in a study of naltrexone, varenicline, and placebo.". Alcohol Alcohol. DOI: 10.1093/alcalc/agae044 [abstract-verified: partial]
- [9] Kirouac, Megan, Otero, Daniel S, Moniz-Lewis, David I K et al. (2026). "Telehealth-Delivered Mindfulness-Based Intervention: Protocol for a Randomized Clinical Trial for Individuals With Alcohol Use Disorder.". JMIR Res Protoc. DOI: 10.2196/92198 [abstract-verified: partial]
- [14] LaRowe, Lisa R, Carl In, Victoria, Ditre, Joseph W (2025). "Perceived Relations Between Pain and Alcohol Use Are Associated with Hazardous Drinking Among Adults with Chronic Pain.". Subst Use Misuse. DOI: 10.1080/10826084.2025.2481329 [abstract-verified: yes]
- [10] Luk, Jeremy W, Thompson, Matthew F (2024). "Mapping Dialectical Behavior Therapy Skills to Clinical Domains Implicated in Contemporary Addiction Research: A Conceptual Synthesis and Promise for Precision Medicine.". Cogn Behav Pract. DOI: 10.1016/j.cbpra.2024.07.002 [abstract-verified: yes]
- [11] Parisi, Christina E, Gracy, Abigail, Ranger, Sashaun et al. (2025). "Exploring how women with HIV develop hazardous drinking patterns: a qualitative assessment of drinking histories.". BMC Public Health. DOI: 10.1186/s12889-025-24146-5 [abstract-verified: partial]
- [7] Ray, Lara A, Baskerville, Wave-Ananda, Nieto, Steven J et al. (2024). "A practice quit model to test early efficacy of medications for alcohol use disorder in a randomized clinical trial.". Psychopharmacology (Berl). DOI: 10.1007/s00213-023-06504-6 [abstract-verified: partial]
- [1] Teixeira, Joana (2022). "[Pharmacological Treatment of Alcohol Withdrawal].". Acta Med Port. DOI: 10.20344/amp.15799 [abstract-verified: partial]
- [8] Witkiewitz, Katie, Stein, Elena R, Votaw, Victoria R et al. (2019). "Mindfulness-Based Relapse Prevention and Transcranial Direct Current Stimulation to Reduce Heavy Drinking: A Double-Blind Sham-Controlled Randomized Trial.". Alcohol Clin Exp Res. DOI: 10.1111/acer.14053 [abstract-verified: partial]
Replacement Resolution Audit
Each REPLACE verdict from the adjudication pass was resolved by re-querying the indexed fulltext corpus and selecting the highest-scoring paper that the Level 3 verifier confirmed supports the claim.
- [17] → [18] (verifier: yes; score 0.73). Title: Combination of Drugs in the Treatment of Alcohol Use Disorder: A Meta-Analysis and Meta-Regression Study.
- [19] → [18] (verifier: yes; score 0.73). Title: Combination of Drugs in the Treatment of Alcohol Use Disorder: A Meta-Analysis and Meta-Regression Study.
- [8] → NO REPLACEMENT FOUND (considered 4 candidates; none verified)
- [20] → [9] (verifier: partial; score 0.76). Title: Adapting inpatient addiction medicine consult services during the COVID-19 pandemic.
- [20] → [21] (verifier: partial; score 0.72). Title: Alcohol use disorder treatment and outcomes among hospitalized adults with alcoholic hepatitis.
- [22] → [11] (verifier: partial; score 0.83). Title: Overcoming Addictions, a Web-based application, and SMART Recovery, an online and in-person mutual help group for proble
- [23] → [11] (verifier: partial; score 0.66). Title: Overcoming Addictions, a Web-based application, and SMART Recovery, an online and in-person mutual help group for proble