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It’s an essential truth that people with alcoholism think about changing for a long, long time before they seriously attempt it. They’re ambivalent about change, and struggle to make up their minds.

There’s this big group we lump under the heading ‘precontemplation’. But in practice, there are precontemplators, and pre-pre-contemplators, and pre-pre-pre-pre-pre-contemplators.

For the most part, if you are hoping that insurance, Medicare or Medicaid, or another third-party payor will help with–or pick up entirely–the costs of treatment, you’ll be running into ASAM criteria that control who gets what kind of treatment.

It’s easier to trash-talk the fellowships than think about quitting. But that’s not the only thing behind the negativity.

There’s a third dimension to making the decision about which treatment will offer the best chance for recovery: Matching the characteristics of a program to an individual’s particular needs.

A model generally supersedes other models not because it is perfect in every respect, but because it seems to explain certain aspects better than its predecessors.

Many of us already have painkillers sitting on a shelf in the bathroom medicine cabinet, alongside the aspirin and the allergy meds. Sometimes they’re unused from prior medical or dental problems.

People have abused opiates for 5,000 years. As much as medicine depends on them, they’ve always created problems for a percentage of users.

Blogs by recovering folks, about sobriety, sober living, and the perils of taking yourself seriously.