Gradual reduction of alcohol use

After reduction goals are agreed, the patient monitors their alcohol intake, circumstances of drinking and mood (eg with a drink diary or an app such as Daybreak), and uses techniques such as spacing drinks (interspersing with glasses of water) or eating while drinking. The clinician reviews the diary with the person regularly to identify high-risk situations for heavy drinking (eg pub sessions, stressful events) and opportunities to reduce drinking.

Other approaches, as outlined in long-term management can be combined with gradual reduction, particularly cognitive behavioural therapy to learn skills in drink refusal and managing urges. Any reduction in alcohol use is worthwhile.