Substance guides

Alcohol use disorder treatment: Complete guide

Published December 13, 2025 · 9 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

Medications

Naltrexone reduces cravings. Acamprosate stabilizes brain chemistry post-abstinence. Disulfiram causes unpleasant reactions if you drink. Medication plus therapy produces better outcomes than either alone.

Therapy

CBT is the most studied approach. Motivational Enhancement helps resolve ambivalence. 12-step facilitation guides AA engagement. Family therapy addresses relationship dynamics.

Levels of care

Medical detox for physical dependence. Residential for severe AUD or failed outpatient. PHP for moderate severity. IOP for mild-moderate. Outpatient for maintenance.

The key insight

Fewer than 10% of people with AUD receive treatment, despite highly effective options existing. Treatment works. The barrier is access and willingness, not effectiveness.

Authoritative sources

This article references guidelines from: NIDA · SAMHSA · CDC

Frequently asked questions

What is the best medication for alcoholism?

Naltrexone and acamprosate are most commonly prescribed. Your doctor can determine which suits your situation.

Can alcoholism be treated without rehab?

Many people respond well to outpatient medication plus therapy without residential care. Severity determines the appropriate level.

How effective is alcohol treatment?

Very. Medication plus therapy reduces heavy drinking days by 70-80%. Long-term outcomes improve with ongoing aftercare.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.