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Alcohol Moderation: Change Your Drinking Without Quitting Entirely

Not everyone who has a problem with alcohol needs to stop drinking forever. For adults who want to reduce their drinking to safer levels and maintain better control over their alcohol intake without giving up alcohol completely. Our moderation approach is based on peer-reviewed research and is appropriate for people who are not physically dependent on alcohol.

What is Alcohol Moderation?

A treatment approach that helps you develop healthier drinking patterns without requiring complete abstinence.

Three glasses of red wine, moderation means setting limits, not giving up entirely

It's based on research showing that some people with alcohol problems can learn to drink moderately and safely:

Good Candidates for Moderation

  • Have never been physically addicted to alcohol or experienced severe alcohol withdrawal (shaking, seizures)
  • Don't drink daily or haven't for extended periods
  • Have no serious medical conditions worsened by alcohol
  • Are motivated to change and willing to follow a structured plan
  • Haven't had multiple failed attempts at moderation

Important Distinction

  • Moderation isn't for everyone
  • If you have severe alcohol dependence, a history of withdrawal, or medical conditions affected by alcohol, abstinence is likely the safer choice
  • Part of our assessment is helping you determine which path is best for you

How Moderation Treatment Works

1. Assessment & Goal Setting

We evaluate your drinking pattern, health history, and previous attempts to change. Together, we set specific, measurable goals: how many drinks, how often, in what situations.

2. Initial Abstinence Period

Most moderation programs begin with 30 days of not drinking. This "reset" helps you understand your triggers and breaks automatic habits before attempting controlled drinking.

3. Structured Moderation

After the abstinence period, you reintroduce alcohol with clear rules: specific limits, no drinking in certain situations, tracking consumption, and regular check-ins.

4. Monitoring & Adjustment

We track your progress objectively. If moderation is working, we maintain and strengthen it. If you're struggling to stay within limits, we discuss whether abstinence might be a better fit.

Who is Moderation Right For?

Good Candidates

  • Binge drinkers who don't drink daily
  • "Gray area" drinkers concerned about their consumption
  • Professionals who need to manage drinking in social/business settings
  • Those who've never tried a structured moderation approach
  • People who are motivated but resistant to abstinence programs

May Need Abstinence Instead

  • Those with history of severe withdrawal symptoms
  • Daily drinkers with physical dependence
  • Multiple failed attempts at moderation
  • Medical conditions worsened by any alcohol
  • Those who've lost jobs, relationships, or freedom due to drinking

Beyond the All-or-Nothing Approach

Most programs follow a predetermined path. We follow yours. We don't insist on labels like "addict" or "alcoholic," and we don't subscribe to rigid ideologies. Our work is committed to doing what works, applauding any steps that reduce the negative consequences of alcohol use as steps in the right direction.

The Traditional Path

  • Mandatory abstinence as the only acceptable goal
  • 12-Step recovery model and group meetings
  • One-size-fits-all programs
  • Time-consuming intensive programs
  • Public meetings that compromise privacy

The Washton Group Approach

  • Flexible goals: moderate drinking, incremental change, or abstinence
  • Private, individually-tailored addiction psychotherapy
  • Customized treatment built around your specific situation
  • Treatment that accommodates your busy schedule
  • Confidential telehealth, no public exposure

The Research Behind Moderation

Moderation-based treatment isn't new or fringe. Research dating back to the 1970s shows that a subset of people with alcohol problems can successfully moderate. Studies estimate that 10-30% of those who receive treatment for alcohol problems eventually achieve stable, moderate drinking.

The key factors for success include: lower severity of dependence, social stability, motivation to change, and participation in a structured program with professional guidance — not just "trying to cut back" on your own.

Dr. Arnold Washton, Pioneer in Moderation Management

Dr. Arnold Washton

Addiction Psychologist | Author

Dr. Washton pioneered moderation-based treatment for professionals. His approach recognizes that not everyone needs complete abstinence, and that structured moderation can be an effective path for many high-functioning individuals.

With over 50 years of experience, Dr. Washton has helped thousands of executives, attorneys, physicians, and entrepreneurs develop healthier relationships with alcohol while protecting their careers and privacy.

For more information or to schedule an appointment: