As control erodes, the drinker redoubles efforts to regain it. Some resort to “white-knuckle” abstinence, giving up alcohol for a while, just to prove to themselves or someone else that they can.
It’s the result of a problem in medicine that’s been going on since before I ever started working in the field. The drugs have changed, but the results haven’t.
Shame always plays a role. Not just the shame of discovery, but the shame of having a problem in the first place.
Look what’s happened to the public image of rehab as a result of those awful high-profile celeb incidents.