Narcotics Anonymous and Alcoholics Anonymous are both Twelve Step fellowships that help people recover from addiction. While they share the same foundational principles, there are important differences worth understanding.
Key Differences
Scope of addiction: AA focuses specifically on alcohol. NA addresses addiction to any mind-altering substance, including alcohol. In NA, alcohol is considered a drug.
Language: AA refers to “alcoholism” and “alcoholics.” NA uses “addiction” and “addicts.” This reflects NA’s philosophy that the disease is addiction itself, not any particular substance.
Literature: AA uses the Big Book (published 1939). NA uses the Basic Text (first published 1983) and Just for Today daily meditation book.
Similarities
- Both use the Twelve Steps and Twelve Traditions
- Both are free, anonymous, and peer-led
- Both use sponsors and encourage service
- Both welcome newcomers regardless of background
- Both emphasize the importance of a Higher Power (as individually understood)
Which Is Right for You?
If your primary problem is alcohol only, either fellowship may work. If you used multiple substances, NA’s broader approach may feel more inclusive. Many people attend both. Try a few meetings of each and see where you feel most at home.
Browse AA meetings and NA meetings in your area, or explore all options at our meeting directory.
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