I know this is an old topic but I would love to add my thoughts, first I will qualify myself as saying that I have been addicted to just about all substances at one point in my life including but not limited to Alcohol, Heroin, Cocaine, Crack, etc…
I have tried just about every program type and I have been sober for 1.5 years, 3 years, 12 years, and now 6.
I currently use DMT a couple of times a month and I am actively looking for Psilocybin mushrooms growing in local pastures. I grew mushrooms for years and had an experience microdosing where I looked into my eyes in the mirror and the mushrooms told me that Alcohol the way I was drinking it was killing me. So I stopped microdosing, I was unwilling to give up the lifestyle.
First is the disease theory of addiction is based on Neuro-Plasticity. That the chemicals that you are ingesting are re-wiring your brain and adjusting your brain chemicals so that you crave more, feel terrible when you don’t have it and feel so much better when you do (more so than a non-addicted person) So here is the thing, I won’t even argue the disease aspect because it is not relevant to me because Neuro-Plasticity is NOT a one way street.
It takes work but through mindfulness meditation and learning to exploit the Gap between mental impulses and reaction we can learn to take different action and change habitual patterns in time regardless of what they are. But this takes consistency and effort. The old pathways can become re-worked easily so we must continue to reinforce the new patterns and avoid the old ones.
I personally use Buddhist practices and follow the 4 noble truths, 8 fold path and 5 precepts to check my behavior. If I wander from the path, I recognize it and return. That’s it. I enjoy Refuge Recovery because there is no negative self declaration (I AM an addict/alcoholic). I personally only follow such a powerful statement as I AM with positive statements.
I realize that no one book, one person, or even one ideology will have all the answers. I believe my job is to remain open yet discriminating. My intuition helps me discern truth, and wisdom helps me identify malicious intentions.