I first entered treatment for addiction at 16 (yep, not a typo...If you think it's hard to consider the "once an addict/alcoholic, always an addict/alcoholic" thing now, imagine doing it at 16). I was clean and sober for about two years, then I started drinking again socially but abstaining from drugs (I also stopped going to meetings when I started drinking again). I was clean (but not sober) for an additional two years. Then I started drinking more, both in frequency and quantity. Then I started using drugs again when I was drunk. Then I started using when I wasn't drunk. Then I ODed, went to the emergency room, and once I got out started going to meetings again.
My situation is a little bit different cause booze was never really my thing and during my years of "normal" (for a high school/college student) drinking I never felt like my drinking in and of itself was a problem--but I'm a "drug addict", not an "alcoholic". I never drank by myself or in the morning or hid it from anyone or anything like that. But I (like 99% of addicts I've met) drink and drug to self-medicate, so when my depression and anxiety started getting worse and the psych meds and therapy weren't helping and everything was just turning to absolute shit in my life, my first instict was to drink, to get high. Drinking or drugging during times of crisis, as I'm sure you know, is like throwing fuel on a fire, so things just continued to get worse, and I just used more to try and escape from everything. Obviously I can't say for sure, but--and as much as I hate Nancy Reagan-esque "gateway drug" scapegoating bullshit--if I wasn't already drinking during this time, I probably wouldn't have started with the drugs again so quickly.
For someone who's an alcoholic and has abused alcohol in the past, I'd imagine that establishing a pattern of even moderate drinking will only make it that much easier to turn to abusing alcohol when life gets tough (certainly once I started using drugs again, it spiraled very, very quickly from "social use" to "abuse," though I guess you could argue that alcohol and hard drugs don't really have the same level of acceptability for moderate use in polite company). Are there people who can go from alcoholic or addict to normal drinker/user and never deal with addiction for the rest of their lives? Probably somewhere out there, but I'm not one of them. For two years I thought I was out of the woods, but I realize now that this impulse to binge or to get high will probably never completely go away, and I can never have the same kind of relationship with psychoactive substances that other people can have.
So once an addict, always an addict? In my case, probably yeah. Oher people my age can probably do hard drugs once in a blue moon and not worry about it too much--I am not one of those people. But do I think of my addiction as a "disease" in and of itself? Not really--I see it as a response to depression and anxiety, like the tip of an iceberg. You have to deal with the addiction piece before you can deal with what's underneath. I wouldn't call myself an AA (or NA, in my case) skeptic (I don't have a problem with higher power stuff), but I don't buy into everything. It does keep me clean/sober, though, so I keep going back.
A close relative of mine has been sober for about 4 years now, mostly through his own devices. He has matured a great deal over the past few years, understanding more how his addiction works, recognizing when "the voice" is talking to him, and understanding that he can never, ever drink like a normal person. He is physiologically different from people who can drink normally, and knows that he has to live with this fact for the rest of his life.
If you are really an alcoholic, physically and psychologically dependent on it, then no, you really can't drink like a normal person. You really should not drink at all.
It's a lot like religious cultism. I grew up with many people who in hindsight I would now describe as alcoholics, who quit cold for many years (without AA) and now drink in a way that strikes me as pretty risk-free (light) social drinking.... but an AA person might just say that they were not "real" alcoholics in the first place.
Also, you may be looking for your own confirmation here. Is it safe to return to drinking? I doubt it.
posted by rokusan at 10:38 PM on April 17, 2008