Alcohol & Health
Treatment
Helping Alcoholics
In this article
Medically Reviewed by Annamarie Coy, BA, ICPR, MATS
Moderation Management (MM) is an alcohol consumption management program.
It offers both guidance regarding alcohol consumption and a network of peer support for people interested in changing their drinking behavior.
Moderation Management was the first moderation-based alcohol addiction treatment program and offers assistance to people who struggle with alcohol whether they want to embrace abstinence or moderation and they acknowledge that for many, moderation is more easily achievable than abstinence.
It offers a supportive environment that encourages members to cut back or stop drinking before an addiction develops or before they have a severe drinking problem. It is a nine-step program that offers information, guidelines, exercises, goal-setting assistance, and self-management strategies to help people practice controlled drinking.
The goal is to help members find balance and moderation in all areas of their life, including alcohol consumption.
Many health experts believe it is possible to consume limited amounts of alcohol safely. According to their recommendations, moderate alcohol consumption is two drinks per day or less for men and one drink or less per day for women.
However, an increasing amount of research has shown that not drinking is better than drinking.
Moderation guidelines are not intended to encourage non-drinkers to drink one or two drinkers per day. Instead, they are meant to say “if you drink, don’t drink more than this.”
The philosophy of Moderation Management programs is that people can change their behavior to avoid alcohol use and prevent dependence. Moderation Management programs are based on use (not dependence) as a habit and not a disease.
The program acknowledges that heavy drinkers suffer many mild to moderate to severe programs because of alcohol, but if done at the early stages, taking a moderate approach is an option.
Moderation management encourages personal responsibility instead of turning over control to something external. Members seek help from other members and offer help to other members.
The program acknowledges that self-management and self-esteem are essential parts of recovery. Members are treated with dignity and respect.
The program assumes:
Moderation programs spend a shorter period determining if moderation is a workable solution. Instead, it provides specific guidelines about moderation and considers it a natural part of the process. It doesn’t matter if abstinence or moderation is the final goal.
Moderation Management is a nine-step program. It promotes abstinence for the first 30 days of the program. After that, it encourages moderation. Members can choose to abstain from alcohol or set limits based on their personal needs and desires.
Moderation Management members have access to peer support and education.
Moderation Management is based on the approaches that:
Abstinence-based programs are right for some people. Some MM participants might eventually opt to participate in an abstinence program.
MM members follow nine-steps, including:
Moderation Management is for those who want to change their drinking behaviors but do not have an alcohol use disorder. It allows members to determine their ultimate goal, be it abstinence of moderation.
The program offers guidelines members can choose to follow or not. In addition to the drink limits, MM also suggests:
Moderation Management is not for everyone and the program acknowledges that. It accepts that there are numerous solutions to dealing with alcohol use. People should find the best solution for themselves.
It’s also possible for someone to try Moderation Management and if ineffective, members can opt for a more intensive treatment program.
Moderate Drinking (MD) is a confidential program that helps people achieve and maintain moderation. The program is for people who would like to cut back or stop drinking alcohol.
The program bases its alcohol consumption guidelines on the widely accepted belief that moderate drinking is as follows:
Moderate Drinking (MD) and Moderation Management (MM) are similar programs.
Some people use both programs. Both programs offer support and guidance for heavy drinkers who do not have alcohol use disorder. The goal is to help people reduce consumption of alcohol before it becomes a problem.
Moderate Drinking is a behavioral self-control training program. It includes four elements:
Moderation Management is a support network. It includes:
Both Alcoholics Anonymous (AA) and Moderation Management (MM) are designed to help people improve their health as it relates to alcohol consumption. However, the programs have very different approaches.
The primary difference is how the programs view abstinence. AA requires a commitment to abstinence, whereas Moderation Management encourages moderation and allows the member to determine if abstinence is possible and/or preferred.
Both programs offer face-to-face and online alcohol support group meetings. There are other tools, as well, including online forums, books, and one-on-one peer support.
Moderation Management meetings are available in-person and online.
Attendees should abstain from alcohol for 30 days before MM meetings. They also complete up to six steps of the nine-step program. During this time, they examine the effect of alcohol on their life. They should record their priorities and assess when, where, why, and how much they drink.
Members set moderate drinking limits once they are in the program and take small steps weekly to practice responsible drinking. The goal is to achieve balance and moderation in all areas of life. They frequently review their progress and update their goals as needed.
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