


Stacy Mosel is a licensed social worker, psychotherapist, and substance abuse specialist. After receiving a Bachelor's degree in Music from the State University of New York at Stony Brook, she continued her studies at New York University, earning a Master's of Social Work degree in 2002.




Stacy Mosel is a licensed social worker, psychotherapist, and substance abuse specialist. After receiving a Bachelor's degree in Music from the State University of New York at Stony Brook, she continued her studies at New York University, earning a Master's of Social Work degree in 2002.
Addiction recovery support groups can provide numerous benefits to people in recovery, including camaraderie and fellowship, that extend the effects of formal treatment.1 The 12 Steps outlined by Alcoholics Anonymous (AA) can be a helpful method for attaining and maintaining sobriety for those struggling with alcohol misuse or addiction. Working through Step 4 of AA is an important component of this process.2
In AA’s 12 Steps and 12 Traditions booklet, AA Step 4 is described as a step that involves making “a searching and fearless moral inventory of ourselves.”2 It can be one of the more difficult steps to complete, as it asks people to closely examine the ways that their alcohol use and associated self-destructive behaviors may have contributed to their own and others’ unhappiness.2
The purpose of Step 4 of AA is to encourage people to reflect on the feelings, actions, and behaviors that may have contributed to or been a result of their addiction and the effects that these may have had on their lives and overall well-being.2
Without an awareness of the underlying feelings that drive a person’s desire to drink, they can continue to perpetuate harm to themselves and others and end up fueling the cycle of alcohol misuse.2 Ultimately, Step 4 can help people see the need to change themselves instead of blaming others and external events for their alcohol use and associated actions and behaviors.2
People might wonder how to complete Step 4 of AA, and many AA chapters offer worksheets to guide this process.3 Although it’s generally advised to work through Step 4 with a sponsor’s support and guidance, a summary of how someone might complete this important step follows.2 You should write down your reflections and give yourself adequate time and space for contemplation.
The 12 Steps were designed to be completed sequentially and are intended to be guides, not rigid statutes, that accompany a person’s recovery process.4 Each Step doesn’t have to be completed perfectly, and you may move through certain steps, or revisit them, at certain times in your recovery.
Step 4 follows Step 3 of AA, which states that we “made a decision to turn our will and our lives over to the care of God as we understood Him,” and precedes Step 5 of AA, which states that we “admitted to God, to ourselves, and to another human being the exact nature of our wrongs.”5 The Big Book indicates that Step 3 can have little permanent effect unless a person can face things that block them (as occurs during Step 4), and similarly, it’s important to understand your wrongdoings before you can admit them to yourself, God, or another person (as takes place in Step 5).4
People can find an online or in-person 12-Step AA meeting in various ways, such as by using the search tool on AA.org. People may also start the AA process in rehab as a part of group therapy or group meetings; many rehabs incorporate 12-Step facilitation therapy into their treatment programming, which is designed to familiarize a person with 12-Step groups and increase the likelihood of their participation.1 People often continue attending these meetings as a part of their aftercare plan, and research shows they can be useful for helping people maintain sobriety.6
If you or a loved one are interested in a 12-Step program, or if you’re already involved in one, you may benefit from attending rehab. Rehab can help people safely stop drinking alcohol, assist with the detoxification process, and provide people with the tools that are necessary to maintain sobriety, so it can be useful both before starting AA as well as for building on the skills you may have already learned in AA.1
Depending on your unique needs and where you are in the recovery process, you might enter different rehab levels of care.1 Rehab can include:7
National Institute on Drug Abuse. (2014, January). Principles of drug addiction treatment: a research-based guide (third edition). https://nida.nih.gov/sites/default/files/podat-3rdEd-508.pdf
AA.org. (n.d.). Step four. https://www.aa.org/sites/default/files/2022-01/en_step4.pdf
Alcoholics Anonymous Cleveland. (n.d.). Fourth step guide. https://www.aacle.org/docs/Fourth-Step-Guide.pdf
Alcoholics Anonymous. (n.d.). The twelve steps. https://www.aa.org/the-twelve-steps
Alcoholics Anonymous. (2001). Chapter 5: how it works. In: Big book, 4th ed. New York, NY: Alcoholics Anonymous World Services. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753023/
Donovan, D. M., Ingalsbe, M. H., Benbow, J., & Daley, D. C. (2013). 12-step interventions and mutual support programs for substance use disorders: an overview. Social work in public health, 28(3-4), 313–332. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753023/
Center for Substance Abuse Treatment. (2014). What is substance abuse treatment? A booklet for families. HHS Publication No. (SMA) 14-4126. Rockville, MD: Substance Abuse and Mental Health Services Administration. https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4126.pdf
We believe everyone deserves access to accurate, unbiased information about mental health and recovery. That’s why we have a comprehensive set of treatment providers and don't charge for inclusion. Any center that meets our criteria can list for free. We do not and have never accepted fees for referring someone to a particular center. Providers who advertise with us must be verified by our Research Team and we clearly mark their status as advertisers.
Our goal is to help you choose the best path for your recovery. That begins with information you can trust.