The 3 A's — Nashville Center for Trauma and PsychoTherapy PLLC (2024)

by Angela Benson

Recovery has many slogans and catchphrases, mnemonics really-intent on helping the recovering person remember important lessons. On the first day in Al-Anon, we are told the 3 C’s: We didn’t cause it; we can’t cure it; and we can’t control it referring to the addiction as well as the addict. Another triple I heard from my first sponsor is the 3 A’s: Awareness, Acceptance, Action. That one really resonated with me. Twelve Step recovery as an action plan is essential for me personally. In fact, I liked it so much that I began researching it and found this explanation in the U.S. National Library for Public Medicine:

The Awareness/Acceptance/Action Model (AAAM) draws on principles of mindfulness, rooted in ancient Asian traditions, and recently adapted to a range of physical and mental health interventions in Western contexts. Mindfulness techniques encourage awareness of one's current state and environment, acceptance of the implications of one's attitudes and behaviors, and the development of intentional responses rather than habitually patterned reactions.

Professionally, I can apply the 3 A’s to a variety of Twelve Step processes, however, they work perfectly with the first three Steps.

Step One asks us to admit our powerlessness, the basis of which is the awareness of our addiction as a disease. Step Two has us believe in a restorative Power and accept that we cannot recover alone. And Step Three moves us to make a decision to let go of self-will, an action affirmative of change. So, Awareness, Acceptance and Action call for a change in perspective, a change in attitude and a change in behavior.

The first step in recovery requires honest objectivity about our lives and the Awareness of our powerlessness. This objectivity is the first definitive movement towards hope in recovery. With this movement comes freedom. Awareness lifts us from a pit of despair and gives us visibility and a vision of a future.

If Step One is the awareness we have a problem, then Step Two is the acceptance of the problem. Acceptance is a simple statement of hopeful observation, a recognition of the reality of the moment. Acceptance allows us to surrender and leads us to the willingness to ask for help.

“Acceptance is not submission; it is acknowledgement of the facts of a situation. Then deciding what you’re going to do about it.”

— Kathleen Casey Theisen

In Step One we admit we have a problem. In Step Two we ask for help, and in Step Three, the Action is where we effect a change. It is in Step Three where we find hope in the fact that we want to change, and we begin to have faith that we can change. Active recovery is the development of intentional responses rather than habitually patterned reactions. In short, Steps One through Three call for an Awareness of the need for a change in perspective, Acceptance of the desire for a change in attitude, and Action that begins with a change in behavior. The 3 A’s also touch on fundamental spiritual principles: Awareness= Honesty, Acceptance= Hope, Action= Faith

The 3 A's — Nashville Center for Trauma and PsychoTherapy PLLC (2024)

FAQs

What are the 3 A's in mental health? ›

Awareness, Acceptance and Action (in that order), often called the 3 As, are the necessary steps for healthy change and growth to occur.

What are the three A's of acceptance? ›

“The Three A's” can be an extremely powerful tool in coming to terms with our addiction.

What are the three A's of AA? ›

On the first day in Al-Anon, we are told the 3 C's: We didn't cause it; we can't cure it; and we can't control it referring to the addiction as well as the addict. Another triple I heard from my first sponsor is the 3 A's: Awareness, Acceptance, Action.

What is the #1 most diagnosed mental disorder? ›

The most common category of mental health disorders in America—anxiety disorders—impacts approximately 40 million adults 18 and older. Anxiety disorders cause people to experience distressing and frequent fear and apprehension.

What are the 3 C's of mental illness? ›

Some clients may be familiar with the “3 C's” which is a formalized process for doing both the above techniques (Catch it, Check it, Change it). If so, practice and encourage them to apply the 3 C's to self- stigmatizing thoughts.

What are the 3 A's in a relationship? ›

The three A's for increasing relationship happiness include expressing appreciation, admiration, and affection. Consistency in conveying these will increase your individual and your relationship happiness.

What are the four A's in recovery? ›

People often refer to the Universal Growth Principle as "The 4 A's," which stands for Awareness, Acceptance, Action and Adherence. Dr. Daniels also adds in another A for Appreciation though I'll explore that one in a separate blog.

What are the four A's of acceptance and commitment therapy? ›

In any ACT textbook or training, you'll likely notice the four As of acceptance— acknowledge, allow, accommodate, appreciate—cropping up repeatedly. And although we don't have to follow them in that order, as it happens, a lot of the time we do.

What are the three questions in AA? ›

How has acting on my own self-will affected my life? How has it affected others? How can I take action to turn it over?

What are the fruits of sobriety? ›

SERENITY, Courage and Wisdom might be termed the Three Fruits of AA Sobriety.

What are the three pillars of AA? ›

The triangle symbol in AA reflects the three principles or legacies of our program (recovery, unity, and service) that are the remedies to the three-part disease of alcoholism (physical, mental, and spiritual). The use of the circle that surrounds the triangle depicts Alcoholics Anonymous in its entirety.

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