In 1958, Bill Wilson wrote, "I think that many oldsters who have put our AA "booze cure" to severe but successful tests will find that they lack emotional sobriety. Perhaps they will be the spearhead for the next major development in AA – the development of much more real maturity and balance (which is to say, humility) in our relations with ourselves, with our fellows, and with God." He basically said they had emphasized not drinking more than having emotional stability, and he felt that they put the cart before the horse. He saw this as the next level of maturity in the AA program itself.
In effect, all twelve-step programs are about developing emotional sobriety. Many individuals who consider themselves to have a co-occurring mood disorder may find that through the twelve-step program, not only can they maintain sobriety, but their mood disorder improves. Others will need medication while working the 12 steps and should be under the care of a professional who is trained to help addicts/alcoholics with mood disorders.
All of these changes occur ultimately in the limbic system. It sets the mind’s emotional tone. It filters events through internal states (creating emotional coloring), stores highly charged emotional memories, modulates motivation, controls appetite and sleep cycles, promotes bonding, directly processes the sense of smell and modulates libido.
An impaired limbic system can manifest as moodiness, irritability, clinical depression, negative thinking, negative perceptions of events, decreased motivation, floods of negative emotion, appetite and sleep problems, decreased or increased sexual responsiveness and possibly social isolation. Primarily there’s an impaired ability to regulate levels of fear, anger, and sadness which is part of the foundation of states such as chronic anxiety or depression.
As one recovering nurse anesthetist put it, "emotional sobriety is my ability to stay in the day and face challenges calmly one day at a time. I’ve had several over the past year, and I’m able to see my part in them, even if they seem circumstantial. And it’s the ability to reign in my catastrophizing, square my shoulders back and tackle a piece of the problem today."
We at Palmetto teach these principles as part of our goal in helping addicts, alcoholics, gamblers, and eating disorder patients. This sets the foundation for utilizing the 12 steps for much more than simply curtailing the addiction or dependency. As Bill Wilson put it 23 years after founding AA: It is the next frontier.