Mark Gold on why self‐help sayings work

In his April 22 blog for Psychology Today , addiction expert Mark Gold, M.D. explains why the language of AA and other self‐help groups works. “One Day at a Time” is a relapse prevention strategy which encourages short‐term, achievable abstinence goals. Instead of being overwhelmed by “I'll never use again,” this saying actually helps someone not use. A similar saying, used in NA, is “Just for Today.” The “cucumber” – representing the social drinker – and the “pickle” – representing a cucumber that has been put in a vinegar, salt and spices solution (like alcohol) is a well‐iknwon AA analogy. Once placed in the pickling solution (alcohol) for a long period of time, the brain changes. The cucumber can never go back to being just a cucumber. Once a pickle, always a pickle. Other sayings that work: “The elevator is broken; take the steps.” “You're only as sick as your secrets.” “Never get too hungry, angry, lonely, or tired” (HALT, representing four triggers for relapse). “Play the tape through” (what will happen if you take that drink). “This too shall pass.” “First things first.” “Keep it simple.” “Relapse is part of recovery” (if you do slip, it's not the end of the world). “Call your sponsor” (an actionable step).