Can Heavy Drinkers Learn to Moderate?

"Can heavy drinkers moderate their drinking? The most straightforward answer is that some can, some cannot, and others simply do not yet know. What matters most is not forcing a premature conclusion but instead creating therapeutic pathways that invite people into meaningful change rather than excluding them at the door. A flexible, individualized approach that supports incremental progress does not weaken or dilute treatment; it strengthens it by increasing engagement, honesty, and staying power."

"Some heavy drinkers can learn moderation, others cannot, and many don't know unil they try. Abstinence is often the safest goal, but requiring it up front can prevent too many people from seeking help. Moderation-focused treatment can be a practical starting point that enhances motivation and self-control. Ironically, guided attempts at moderation often lead people to choose abstinence voluntarily without coercion."

Some heavy drinkers can moderate, some cannot, and many learn only by trying. Abstinence remains the safest, most effective option for people with serious alcohol problems. Insisting on abstinence up front can deter many people from seeking help. Moderation-focused treatment can serve as a practical, motivational starting point that strengthens self-control. A flexible, individualized approach that supports incremental progress increases engagement, honesty, and treatment retention. Guided attempts at moderation often result in voluntary choices for abstinence or other harm-reduction strategies without coercion.

Read at Psychology Today