The twelve steps beyond alcohol: Applying recovery principles to food, perfectionism, and modern behavioral addictions

Title : The twelve steps beyond alcohol: Applying recovery principles to food, perfectionism, and modern behavioral addictions

Abstract:

This presentation explores how Twelve Step principles can be adapted to address emerging behavioral addictions beyond substance use. Contemporary clinical practice increasingly recognizes compulsive relationships with food, perfectionism, work, achievement, and digital engagement as contributors to emotional dysregulation and impaired functioning. These behavioral patterns often reflect neurobiological and psychological mechanisms similar to substance-related addictions, yet many individuals may not identify with traditional addiction models, contributing to under-recognition, shame, and delayed support.

Drawing on clinical observations, behavioral health research, and case-based examples, this presentation examines how Twelve Step principles can be translated into practical interventions for behavioral recovery. Attendees will explore applications and reflective strategies relevant to binge–restrict food cycles, perfectionistic overcontrol, compulsive productivity, and problematic digital engagement.

Core Twelve Step concepts—including honesty, surrender, accountability, amends, service, and community support—are discussed as mechanisms for reducing shame, interrupting maladaptive coping patterns, and strengthening emotional resilience. Emphasis is placed on progress rather than perfection, relational healing, and culturally responsive implementation.

Participants will gain a clinically grounded understanding of how Twelve Step principles may serve as a flexible, recovery-oriented framework to support sustainable behavior change, self-compassion, and long-term wellbeing across a broader range of compulsive behaviors.

Biography:

Mary Dobson is a nationally recognized behavioral health specialist with two decades of experience in eating disorder prevention, treatment, and advocacy. Beginning her career in research at Yale, she later earned advanced training in systemic school-based behavioral health and became a Certified Eating Disorder Specialist, serving two terms as President of the Connecticut IAEDP Chapter. She founded LIFT Wellness in 2016, expanding it into a multi-state, interdisciplinary treatment center serving thousands of clients. She is now launching LIFT Teen and Parent Wellness Centers in partnership with Connecticut Children’s Medical Center. Ms. Dobson continues to maintain a diverse caseload, mentor clinicians, and speak nationally.