Abstinence vs. Moderation: Know the Benefits

The choice between abstinence and moderation is a pivotal decision that shapes a person’s successful treatment approach and addiction recovery. In the majority of cases, most people enjoy better, more effective sobriety if they abstain from all substances. However, by exploring these two methods and their definitions, it’s easier to work with your healthcare providers on your recovery solutions. 

Understanding Abstinence’s Benefits

This method is considered the complete avoidance of drugs or alcohol. It’s often recommended for individuals with substance use disorder (SUD) or alcohol use disorder (AUD), where even minimal consumption could trigger relapse or health complications. Here are just a few reasons why: 

However, abstinence requires considerable lifestyle adjustments. Essential strategies include avoiding social situations where substances are present, managing cravings, and developing new coping skills. Support systems, including counseling and peer groups like Alcoholics Anonymous and other 12-Step programs, play a crucial role in helping individuals maintain abstinence.

While some people might struggle at first with the concept of abstinence, it’s important to note that zero use tolerance isn’t exclusive to addiction recovery. Many others choose this path for cultural or religious reasons, too, or to manage chronic health conditions such as heart problems or liver disease more effectively. 

Exploring Moderation

The objective of this approach is to reduce consumption to safe or non-harmful levels. For instance, the Centers for Disease Control and Prevention defines moderate alcohol consumption as up to two drinks per day for men and one drink per day for women. To clarify, a standard drink equals 12 ounces of beer with 5% alcohol, 5 ounces of wine with 12% alcohol, or 1.5 ounces of distilled spirits with 40% alcohol.

In certain circumstances, moderation may be more attainable and less intimidating than total abstinence. So, some addiction rehabilitation specialists might recommend it to individuals with mild SUD or AUD or those who don’t have a history of complex addiction issues. It can also be integrated into medication-assisted treatment protocols for those recovering from more harmful substances. 

Nevertheless, moderation is challenging. Even with the best intentions, some might find it difficult to maintain self-control with discipline and self-awareness, particularly if they have underlying issues related to addiction. Furthermore, studies show that even moderate alcohol consumption carries health risks, such as an increased likelihood of certain cancers.

Why Abstinence Is Preferred in Addiction Treatment

For many individuals, addiction isn’t a choice—research indicates that 40-60% of risk factors are hereditary, so people with a family history of it are often better off avoiding substances altogether. Abstinence not only helps break the cycle of dependency but also fosters a comprehensive shift in behavior and emotional regulation.

Here are just a few reasons why your continuum of care plan might stress abstinence for lasting recovery: 

  1. Severity of addiction. Individuals managing complex SUD or AUD are generally advised to pursue abstinence, as moderation may pose significant risks. For example, according to the NIAAA, even small amounts of alcohol can act as triggers, reigniting cravings and jeopardizing recovery efforts. This is why many recovery programs advocate for a zero-tolerance policy to ensure stability and prevent relapse.
  2. Health considerations. Medical conditions and medication interactions may necessitate abstinence to avoid complications.
  3. Psychological factors. Understanding personal triggers and the ability to self-regulate are critical in determining whether moderation is a feasible option. If not, abstinence is safer.
  4. Support systems. Access to counseling, peer groups, and other resources are powerful influences on the effectiveness of either approach.

Find the Answers at Sobriety Centers of New Hampshire 

The decision to pursue abstinence or consider moderation should ideally be made in consultation with healthcare professionals. Our primary goal at Sobriety Centers of New Hampshire is to deliver high-quality, evidence-based treatment. Our board-certified therapists, addiction counselors, and medical practitioners provide personalized recommendations based on an individual’s history, health status, and recovery goals.

We have three locations to serve you: 

  • The Antrim House in Antrim, a detoxification and residential treatment facility for men and women.
  • Recovery Mountain in Tilton, a residence for Veterans and first responders as part of outpatient programming.
  • The Lakes Addiction Treatment Center in Laconia, offers inpatient, outpatient, partial hospitalization, and intensive outpatient rehabilitation programs for men and women.


If it’s time to focus on whole-person health and recovery, contact a member of our admissions team with your questions and we’ll be happy to help.