Alcohol use disorder: who thinks about addiction? The role of mutual-self-help

In light of the scientific evidence presented in the present narrative review, it is possible to draw some conclusions. Firstly, AUD should not be considered as a "self-inflicted disease" but a clinical problem that derives from an incorrect lifestyle. Secondly, the possible presence of psychiatric pathology (primary or secondary) must be evaluated after a prolonged period of abstinence. Thirdly, psychotherapeutic activity is effective for the resolution of problems from post-traumatic stress and in helping the patient in motivation and change. Moreover, the treatment of psycho-pathological problems and those related to traumatic/stressful factors facilitates the maintenance of sobriety, but does not represent the key to interpretation. As already stated, "the self-referential release of alcohol and other psychotropic substances represents the rule and it is difficult to conclude the additive experience if the primum movens is removed." The key treatment to significantly address the "pathological bond with the substance" is the frequency and full adherence to self-help groups. The effectiveness is independent of routine pharmacological/psychotherapeutic treatments. Lastly, the number of subjects and family members who currently attend is negligible. For this reason, it is appropriate that services provide themselves with self-help facilitators and train informal caregivers.