As we said before, addiction is a spiritual malady. It is not a psychological or neurological disorder, so medicine can’t cure it. It is not simply a bad dynamic that can be changed. It is an illness buried deep inside the addicts will to live. No CBT can help him as he not in control of his actions. Nor can any psychodynamic therapy heal him as this drive for the high dwells way deeper in his essence than any form of therapy can possibly reach. To try and manage his triggers, avoiding that which stimulates his drive to drink, for the addict is a sure failure in the longterm (and usually won’t help at all), as the addict doesn’t drink for any external reason; the basis for his addiction is internal. There may be situations which remind of his quest for the high, but ultimately it is always there without those situations, and it will happen without any warning and stimulus he will drink or use. (As an aside many addicts claim that in their experience with therapists, the therapists were strong enablers in their addiction. As therapists can’t/don’t always differentiate between addicts and non-addicts, and they treat addicts with the sympathy and empathy befitting a non-addict, it is very counterproductive for the ultimate recovery of the addict.)