The Evolution of Treatment Methods from AA to TSM (1935 - 2024)

The Evolution of Treatment Methods from AA to TSM (1935 - 2024)

March 23, 20243 min read

The Evolution of Treatment Methods from AA to TSM (1935 - 2024)

Key Takeaways

  • Understand the historical progression of treatment methods for alcohol use disorder (AUD) from Alcoholics Anonymous (AA) to The Sinclair Method (TSM).

  • Discover how the Sinclair Method offers a scientifically backed alternative to traditional recovery methods.

  • Learn about the significant milestones and scientific advancements in AUD treatment from 1935 to 2024.


Understand the historical progression of treatment methods for alcohol use disorder (AUD) from Alcoholics Anonymous (AA) to The Sinclair Method (TSM).

The journey of understanding and treating alcohol use disorder (AUD) has been long and evolving. From the establishment of Alcoholics Anonymous (AA) in the mid-20th century to the modern approach of The Sinclair Method (TSM), our approach to recovery has undergone a significant transformation. This evolution reflects our growing understanding of addiction as a multifaceted issue that requires a nuanced and scientifically informed approach.

A Brief History of AA: The Foundational Approach (1935)

Alcoholics Anonymous (AA), founded in 1935, introduced a novel approach to recovery based on peer support, spiritual growth, and the famous twelve-step program. This method, emphasising abstinence and moral and personal transformation, dominated the treatment landscape for decades. It provided a supportive community for countless individuals, offering a path to sobriety through shared experiences and mutual encouragement.

The Shift Towards Medical Understanding of AUD

As our understanding of the biological and psychological underpinnings of addiction deepened, the treatment paradigm began to shift. Research in the latter half of the 20th century started to reveal AUD as a complex interplay of genetic, environmental, and psychological factors, leading to a push for treatment options that included medical interventions alongside psychological support.

Introduction of The Sinclair Method: A New Horizon (1990s)

Enter The Sinclair Method (TSM), a revolutionary approach to treating AUD that emerged in the 1990s. Founded on the principles of pharmacological extinction, TSM uses the medication Naltrexone to gradually reduce the desire to drink to excess. Unlike AA, which requires complete abstinence, TSM allows individuals to continue drinking while on medication, leading to a decrease in alcohol cravings and consumption over time. This method is backed by scientific research, offering a new hope for those for whom traditional methods have been ineffective.

TSM vs. AA: A Paradigm Shift

The contrast between TSM and AA highlights the broader evolution in treating AUD—from a solely spiritual and psychological struggle to a condition that can also be addressed medically. TSM's approach is rooted in the understanding that addiction is not a moral failing but a treatable medical condition. This shift has opened the door to a more inclusive and diverse range of treatment options, catering to the varied needs of individuals facing AUD.

The Ongoing Evolution: Integrating Technology and Personalisation (2024)

The journey from AA to TSM is not the end but a part of the ongoing evolution of AUD treatment. Today, we are witnessing the integration of digital health solutions, telemedicine, and personalised medicine into the treatment of AUD. These advancements promise to further tailor treatment to the individual, improving accessibility and effectiveness.

In Summary

The evolution from AA to TSM reflects a broader shift in our understanding of and approach to treating alcohol use disorder. As we continue to learn and grow, the horizon of treatment options expands, offering new hope and pathways to recovery for individuals around the world. Whether through traditional support networks like AA or through scientific innovations like TSM, the goal remains the same: to provide effective, compassionate care for those seeking to overcome AUD.

For those interested in exploring TSM further, RethinkDrink offers a detailed introduction to this method. And for individuals seeking guidance and support on their recovery journey, booking a Q&A session can provide personalised advice and answers to your questions about TSM and other treatment options.

The story of AUD treatment is one of constant progress and hope. As we look to the future, we remain committed to expanding our understanding and improving the lives of those affected by alcohol use disorder.

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