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Most communities provide both options for opioid patients, and lacking a methadone for alcohol or cocaine, use a more traditional abstinence-based approach for those addictions.

Instead of becoming inspired to turn his life around, he seems to have figured, “OK, crisis averted. Let’s go get a beer.”

It isn’t that big a challenge; you simply add a basic questionnaire on the subject to your intake paperwork.

There’s hope. Partly because the effects of repeated treatments tend to be cumulative — most patients are learning something important from each.

I realized something: though in her mind we’d played a principal role in her recovery, she’d actually followed none of the directions we’d given her.

Sober Chrystal talks about the moment when her five years of sobriety hung in the balance and nearly went over the cliff.

The point of the game is to win. You win by knowing the odds and trying to take advantage of them. Even if that means resisting emotional impulses.

The workbook is based on recognized disease-model treatment principles and can integrate readily in Matrix and other established EBP treatment protocols.

But to start opening those doors, someone has to be in the room — that is, they have to be identified (by themselves, preferably, but frequently by others such as the court system or family members) as possible/probable addicts.

Recovery-friendly communities encourage education, provide support for open communications, and reject assumptions that perpetuate stigma.