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Non 12-Step Programs Rational Recovery ® is one of many better-known self-help groups that are not based on the 12- Step program. Some of the others are Women for Sobriety, Men for Sobriety, Secular Organizations for Sobriety, and S.M.A.R.T. ® (Self Management and Recovery Training) Recovery. For the most part these groups view the problem in a different light than 12-step programs, which view the addiction as a life long "disease".

Jack Trimpey as an alternative to AA founded one of the first Non-12 step programs in 1986. This program called" *Rational Recovery®" is based on the Rational Emotive Therapy of Albert Ellis. The basis for the program is contained in a book written by Trimpey titled, "The Small Book: A Revolutionary Alternative for Overcoming Alcohol and Drug Dependency," in which 15 "central beliefs about alcoholism" that are referred to as irrational, are restructured according to a rational idea. One example, the "irrational" belief of the alcoholic's powerlessness over alcoholic cravings and the consequent lack of responsibility for what is ingested is refrained.

Many non-12 step programs use a form of therapy known as Cognitive Behavioral Therapy. Cognitive/behavioral therapy help patients to change some of the patient's habitual modes of thinking about him/herself, his/her situation, and his/her future, change the negative styles of thinking and behaving often associated with depression. Cognitive therapy or cognitive behavior therapy is a kind of therapy used to drug and/or alcohol addiction, to treat depression, anxiety disorders, phobias, and other forms of psychological disorder. It involves recognizing distorted thinking and learning to replace it with more realistic substitute ideas. Its practitioners hold that the cause of many (though not all) depressions are irrational thoughts.
 
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