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‘Once an alcoholic, always an alcoholic’ is outdated. Here’s why
Experts say recovery from alcohol use disorder can include reduced drinking, and a 2025 study found about 1,900 participants reported similar health outcomes.
Brad Pitt sparked intense debate after revealing he is drinking in "a more restrained manner" following seven years of sobriety, challenging the long-held belief that recovery from alcohol use disorder requires total abstinence.
The controversy reflects a clash between traditional abstinence-focused programs like Alcoholics Anonymous and evolving medical frameworks, as addiction psychiatrist Dr. Smita Das noted that medical fields increasingly embrace a spectrum of recovery.
According to the DSM-5, sobriety "is a part of the definition of recovery, but it is not the whole thing." A 2025 study of about 1,900 participants found non-abstinent recovery outcomes similar to abstinent ones.
While clinically outdated, phrases like "once an alcoholic, always an alcoholic" serve as protective boundaries for vulnerable people, and these frameworks remain effective for nearly 2 million active Alcoholics Anonymous members.
Redefining recovery beyond strict abstinence aims to lower barriers to treatment by allowing earlier diagnosis, with NIAAA researchers' changes increasing access to insured care before patients need intensive rehabilitation.
Brad Pitt’s recent revelation that he again drank more “moderately” — after seven years of sobriety after a period of excessive consumption — sparked a strong rejection. Beyond the actor’s behavior in the past,...