Plenty of people get sober without "formal" treatment from a treatment organization. (As opposed to directly into AA, NA, or via some other method.) Recovery would still exist without "treatment." But my belief is that these organizations play a vital role.
So why are there so few of them? Especially quality non-profits?
For instance, cancer and hiv/aids, to name only two, have far more non-profits dedicated to treatment, research, and education than alcoholism/drug addiction/substance abuse. Cancer and hiv/aids organizations are clearly causes worthy of a great deal of support and resources. But on a percentage of population basis, my anecdotal guess would be that substance abuse is a larger problem.
So why the disparate support and resources?
The only thing I can come up with is stigma. "Alcoholics and drug addicts are weak. They have no will power."
Despite an evolving popular mindset on the issue, this is still the feeling of many.
For over two years I tried to quit drinking. Everyday the thought was, "I just need to get to nine o'clock. Then the liquor store will be closed and I can go to bed." My car no longer worked if I had any alcohol in my system, so I needed only to make it past nine, then get a little klonopin help, and I could make it through the day without a drink.
7-9 every night were the longest hours of my life - and I had to live them everyday. (Most nights I broke down at 8:57 and sped to the liquor store.) It wasn't about will power.
I can play squash for twenty minutes after I believe I've had a heart attack. I can smoke a pack a day, then run for miles. I can work everyday and most nights on something that may never show me dollar one. And keep at it through doubts - because that is my vision. I have will power. Actually, a ton of will power. But I couldn't stop filling my glass if you had a gun to my head.
I was sick. Bodily, mentally, and spiritually sick. It's the spiritually part that bothers some people. It is my belief that spiritually sick, while maybe not on its way directly into the DSM, will increasingly be recognized as a serious ailment. As much in need of treatment as cancer.
I'm grateful that there are organizations that help treat, educate about, and prevent substance abuse. I just wish there were more. I'm happy the alcoholism stigma is ebbing. I just wish it was going slightly faster. I'm happy, and grateful for the chance, to do my part in making my wishes reality.
Sorry about the slightly rambling post. I guess I had more on my mind than I thought this evening.