Introduction:
For anyone questioning their relationship with alcohol, the prevailing wisdom is clear, simple, and absolute: complete and total abstinence is the only solution. To suggest otherwise is often treated as heresy. But what happens when this one-size-fits-all approach doesn’t fit? What does the scientific and experiential data say about other paths?

At Grateful Truce, we believe in exploring all avenues to healing. This blog post accompanies our latest video, which delves into the controversial world of moderation for those with Alcohol Use Disorder (AUD). We’ll summarize the key points and provide resources for those who want to learn more.

The Data Behind the Doubt
The abstinence-only model, championed by programs like AA, is often credited as the only true path. However, a closer look at long-term studies—such as those cited in the Cochrane Database of Systematic Reviews and the Journal of Addiction Medicine—paints a more complex picture. These studies suggest success rates for sustained abstinence through traditional programs are low, indicating that while it is a lifesaver for some, it is not a universal solution. The majority of people struggling with AUD are not finding lasting success this way. This isn’t a criticism of the program, but a sobering look at the evidence that calls for a broader conversation.

Evidence-Based Alternatives You Might Not Know About
Thankfully, the conversation around recovery is evolving. Here are two evidence-based alternatives that offer a different approach:

1. Moderation Management (MM): This is a behavioral change program and national support network for people concerned about their drinking who wish to make positive lifestyle changes. It provides a structured, non-judgmental framework to reduce drinking and develop healthier habits.
2. The Sinclair Method (TSM): This is a pharmacological approach that uses the FDA-approved medication Naltrexone. Taken one hour before drinking, Naltrexone blocks the opioid receptors in the brain that are responsible for the euphoric “high” of alcohol. Over time, this extinguishes the craving and allows the brain to “unlearn” its addiction.

A Personal Framework: The Grateful Truce
My own journey led me to develop a personal framework I call a “Grateful Truce.” This is not a formal program, but a rigorous, personal system built on four pillars that allowed me to build a healthy, moderated relationship with alcohol after years of struggle. It is grounded in:

• A foundational relationship with Jesus Christ.
• A concrete, written plan I call “The Math of Moderation.”
• Radical, honest communication with my loved ones.
• A dedicated focus on healing my mind and body.

A Path of Informed Choice
The goal of this discussion is not to convince you that moderation is the right choice, but to affirm that informed choice is your right. Recovery is not a monolith. If the dominant path has not worked for you, it is not a moral failing. It may be a sign that a different path is calling you.

Explore Further
If this topic resonates with you, we encourage you to do your own research. Visit the websites for Moderation Management and The Sinclair Method to learn more about these evidence-based approaches.

We want to hear from you. What are your thoughts on moderation as a path to recovery? Share your perspective in the comments below.

Chris Mosser

Author Grateful Truce & The AGI Dilemma