A new survey by Elite Home Detox reveals the strategies, challenges, and motivations behind alcohol quit attempts across the U.S.
Quitting alcohol is never simple. In the U.S., more than 28 million people live with Alcohol Use Disorder (AUD) — a medical condition that makes it difficult to control drinking despite serious social, professional, or health consequences [1]. Yet many Americans do manage to quit, often relying on a combination of personal determination, social support, and practical strategies.
To understand what drives successful sobriety, Elite Home Detox surveyed Americans about their experiences with quitting alcohol. The study explores the full journey — from the motivations that sparked the decision to stop, to the challenges encountered along the way, and the approaches that help people stay alcohol-free.
Dr. Abe Malkin, MD, MBA, a board-certified addiction medicine specialist, member of the American Society of Addiction Medicine, and founder of Elite Home Detox, explains:
“We often underestimate how deeply normalized drinking is in American life — and how isolating that makes sobriety feel,” says Dr. Abe Malkin, MD, MBA, founder of Elite Home Detox.
“Alcohol-related illnesses kill about 178,000 Americans each year, yet the long-term health impact of drinking remains largely overlooked. Beyond liver and heart disease, alcohol contributes to rising rates of several cancers. Lasting sobriety requires personal motivation, strong support, and strategies tailored to the individual.”
The decision to put down the glass is never easy, and the journey to sobriety reveals just how complex our relationship with alcohol can be. Nearly half of Americans (44%) have tried quitting alcohol. Of those who tried, roughly one in three returned to drinking.
Geography tells its own story. Across U.S. cities, the path from trying to quit to staying sober is far from uniform.
For many Americans who have tried quitting, staying sober can be just as challenging as quitting in the first place. Relapse is most commonly driven by stress and emotional challenges, with more than a quarter of respondents citing these as a key factor.Social situations, easy access to alcohol, and feelings of loneliness or isolation also play significant roles, highlighting the importance of both environment and emotional well-being in maintaining sobriety.
A smaller share of individuals point to health issues(7%), physical dependence (7%), or lack of professional support (5%) as contributing factors. Together, these findings illustrate that relapse often emerges from a combination of psychological, social, and situational pressures rather than a single cause.
The information provided on this page is for educational and informational purposes only and should not be interpreted as medical or addiction treatment advice. If you are struggling with alcohol use or dependence, it’s important to consult a licensed healthcare or addiction specialist for professional guidance.
Do not rely on AI tools, online content, or self-diagnosis in place of qualified medical or therapeutic care. If you or someone you know is experiencing alcohol withdrawal symptoms or an alcohol-related emergency, call 911 or seek immediate medical attention.
For many Americans, the journey to sobriety doesn’t start with a dramatic health scare or a major life change—it often begins with something much simpler: money. The rising costs of drinking have made financial savings the number one motivator to quit, but that’s only part of the story. From wanting to set a better example for loved ones to seeking greater focus and productivity, people across all ages and backgrounds are rethinking their relationship with alcohol.
Other reasons include the wish to improve fitness (19%), witnessing a loved one struggle with alcohol (18%), a health scare or medical advice (17%), medication that cannot be combined with alcohol (14%), or to avoid post-drinking anxiety (13%). A small share (6%) reported no primary reason for quitting.
Age, gender, and geography show nuances for motivations:
Open responses from individuals reveal deeply personal reasons for quitting alcohol. Many participants describe a single catalyst — a health scare, pregnancy, DUI, or financial or family crisis — that prompted lasting change. For others, it’s a slower realization: the desire to feel physically stronger, repair relationships, or simply regain control over their lives.
Quitting alcohol isn’t a one-size-fits-all journey. For some, it’s a matter of pure willpower. For others, it’s about reshaping daily life or finding new outlets to replace old habits. But one thing stands out: While therapy, medication, and formal treatment are available, fewer than 15% of Americans see them as their primary path to sobriety. Instead, most people quit by changing their routines, embracing new passions, or relying on sheer determination.
Individual answers reveal that personal, social, and spiritual support are central to helping Americans stay sober. Many respondents emphasized the role of a strong mindset, witnessing the effects of alcoholism on loved ones, or rediscovering strength through faith—highlighting the deeply personal nature of their journeys.
Maintaining sobriety often relies on intentional lifestyle choices — and Americans overwhelmingly turn to social and behavioral strategies to stay alcohol-free. The most common approaches include avoiding bars and alcohol-serving venues, changing social circles, and developing new hobbies or sports as healthier outlets.
In contrast, structured or professional support such as medication (14%), seeking professional in-home support (13%), or going to rehab clinics (11%) is used less frequently, which may reflect limited access to resources or a preference for self-directed approaches.
Among open-ended responses, many Americans emphasized faith and spirituality as central to their sobriety journey — describing prayer, divine intervention, or a renewed relationship with God as key motivators. Others cited personal willpower and discipline rather than formal strategies, while a smaller but notable group mentioned substituting alcohol with cannabis as a coping mechanism.
[1] National Institute on Alcohol Abuse and Alcoholism: Alcohol Use Disorder (AUD) in the United States
This nationally representative survey was commissioned by Elite Home Detox and conducted by Censuswide among 2,000 U.S. adults aged 21+ across all 50 states (September 25–26, 2025). The sample was balanced by age, gender, and region to provide a comprehensive snapshot of Americans’ experiences with alcohol sobriety.