It doesn't. You continue to - and I am now more than ever sure of this - purposefully take bits and pieces from 12-step literature, specifically AA, out of context, reductively, because of some axe you continue to grind. Nothing works unless you work it - including cancer treatment, mental health treatment, education, academics, hobbies... fucking life doesn't work unless you work it.

If a diabetic (to use an AA analogy I am sure you have heard before) does not test his or her blood, does not adjust his or her diet, does not take his or her medication, then he or she will suffer from the ill effects of that disease. He or she is not "working" a program of treatment. In that respect, it is the patient's fault - and often failures in life in general are in failures to act. In 12-step recovery, action is required.

However, it is true that AA and other As are not the best fit for everyone and that there are other paths to taking action - but make no mistake, action is required in all paths to all treatment/recovery/abstinence/whatever the fuck you want to call it - including your own metal health diagnosis. You had to "work it" too, or it, too, would not have worked.

It's too bad that you, apparently, ran into some of the worst faces of AA and conflated them with all of AA and then extended that to all of 12-step recovery. It's too bad because some of your criticism is valid and should be taken seriously, but because you cannot recognize your own very personal disdain, your obvious vendetta leaves any real action that you can bring to the fore lost in your own noise.