The right recovery treatment approach can look different for everyone. This blog walks you through what Alcoholics Anonymous (AA) is, why it might or might not work for you, and introduces options—especially right here in Iowa—that may feel like a better fit. You’ll also learn about the non-12-step approach at St. Gregory Recovery Center and how it might support your next steps toward long-term healing.
What is AA?
Alcoholics Anonymous (AA) is a global fellowship made up of people who come together to support each other in abstaining from alcohol and other substances. AA meetings are open and free to any person who wants to change their relationship with alcohol. There’s no age limit, no educational requirement, and no application process. You just come as you are.
The 12 Steps are the backbone of AA, encouraging clients to reflect on their past behaviors, make amends, and lean on a spiritual source of strength. Core 12-step concepts include:
- Admitting that alcohol has made life unmanageable
- Believing that a power greater than yourself could help you find balance
- Taking a moral inventory of your actions
- Making amends to those you’ve harmed
- Carrying the message of recovery to others
Why AA May Work For You
If spirituality, group sharing, and step-by-step structure resonate with you, AA may feel like home. Here’s how:
- It offers built-in community support. AA meetings can give you an immediate sense of belonging when you might need it most. You’re surrounded by people who’ve been where you are. Shared experiences often help you feel understood—rather than judged—without needing to explain yourself.
- Consistent structure. The 12 Steps can carve out a path that you can follow at your own rhythm. Many find comfort in having a repeatable, familiar process. That structure may also help you track your growth in recovery.
- Highly accessible. You’ll find AA meetings nearly everywhere, and they’re free to attend, so it’s easy to stay connected. You can go daily, weekly, or as often as you need.
Why AA May Not Work For You
However, AA may not appeal to everybody. Here’s why:
- Spirituality might not resonate. Some people don’t connect with the spiritual aspects of the program. If phrases like higher power feel uncomfortable or unfamiliar, you may find it hard to engage. While AA welcomes all beliefs, it still leans into spiritual themes.
- Group dynamics vary. Like any community, meetings can feel different depending on the location and the group. Some clients may report frustration with others’ behaviors or feel like the environment isn’t a good fit. That may make it tough to stay consistent.
- You may want a different approach. Not everyone is drawn to AA’s format. If you’re looking for something science-based or skills-focused, AA may not offer the tools you need. You might prefer learning strategies through therapy instead.
AA Alternatives in Iowa
If AA doesn’t work for you—or if you’re curious about other options—there are several alternatives right here in Iowa that may help. Alternatives include:
- SMART Recovery. This approach focuses on self-management and science-based tools. Cognitive behavioral therapy (CBT) is a part of the SMART approach, and it offers four key strategies: building motivation, handling urges, managing thoughts, and creating balance.
- Evidence-based behavioral therapy. Therapies like CBT and dialectical behavior therapy (DBT) might help you pinpoint negative belief systems and change them. These approaches give you coping skills and tools to manage difficult emotions, especially if you’re working through both a substance use issue and a mental health condition.
- Medication for recovery. Medication-Assisted Treatment (MAT) supports recovery by reducing cravings and stabilizing your brain chemistry. While it isn’t a replacement for recovery work, it may make staying substance-free more manageable.
AA Alternatives in Des Moines
At St. Gregory Recovery Center, you’re not locked into just one recovery path. While many centers follow a 12-step format, our non-12-step treatment approach can be tailored to clients who need something different. Instead of a single track, we combine evidence-based therapies, holistic care, and medical support to build a recovery plan around your needs.
What makes our approach different?
- You’ll get a full assessment before starting care, and you’ll meet one-on-one with a licensed therapist
- You’ll join group therapy sessions that encourage openness without pressure
- We involve your family (with your consent) to build a stronger support network
- You’ll have access to MAT if needed
- You’ll participate in wellness practices like yoga, meditation, and nutrition counseling
- We’ll work with you on a solid aftercare plan, so you leave with tools, not just good intentions
At St. Gregory, we believe recovery isn’t one-size-fits-all. If the 12 Steps don’t speak to you, that’s okay. You still deserve a path forward that feels right and works for your life. Contact us to get started.
