Sobriety

Sobriety is the state of not being under the influence of alcohol or other mind-altering substances. In everyday use it can refer to a moment of clarity or, in medical and recovery contexts, sustained abstinence from such substances.

In health and addiction treatment, sobriety often implies ongoing abstinence and is commonly marked by a personal sobriety date, the point at which a person commits to remaining abstinent.

Treatments for substance-related problems include medical detoxification, pharmacotherapies (such as naltrexone, acamprosate, disulfiram for alcohol use disorder, and methadone or buprenorphine for opioid dependence), behavioral therapies, motivational interviewing, and mutual-help or peer-supported programs.

Outcomes vary. Some achieve long-term sobriety, others experience relapse. Definitions of sobriety and success differ across medical, legal, and social contexts.

Social aspects influence sobriety, including relationships, employment, housing, and access to recovery resources such as sober housing, support groups, and rehabilitation services.

Debates continue between abstinence-only approaches and harm-reduction or moderation strategies, reflecting differing goals, patient autonomy, and public health considerations.