Stigma has many targets. It reaches beyond people addicted to various drugs to affect family members and those providing addiction treatment and recovery support services. Such secondary stigma, for example, is the source of the peculiar pecking order within the addictions field through which status (or stigma) is bestowed across varied settings based on one’s(……)

People addicted to alcohol and other drugs see the world differently. They SEE the world differently as a result of neurocognitive changes in perception that accelerate in tandem with increased tissue tolerance, increased intensity of cellular hunger (craving), and the resulting obsession with maintaining the drug relationship at all costs. As drug seeking, drug procurement,(……)

A Rendezvous with Hope (Lessons from an Outreach Worker) Through my tenure in the addictions field, the question of readiness for treatment and recovery was thought of as a pain quotient. In the earliest years, we believed that people didn’t enter recovery until they had truly “hit bottom.” If a client didn’t fit that criterion(……)

Landmark life in recovery surveys have been recently conducted in the United States (Laudet; Kaskutas, Borkman, Laudet, et al.; Witbrodt, Kaskutas, & Grella), Canada (McQuaid, Malik, Moussouini, et al.), Australia (Best & Savic), and the UK (Best, Albertson, Irving, et al.).  These surveys provide retrospective confirmation of the improvements in physical/emotional/relational health and quality of(……)

In the last blog, we explored why people in medication-assisted treatment (MAT) for alcohol or opioid use disorders experience special obstacles to long-term recovery, why individuals using medication support may be in particular need of peer recovery support services, and why some individuals denied access to medication support could benefit from integrated models of medication(……)

How can peer addiction recovery supports, including access to medication-friendly mutual aid meetings, be increased for people in medication-assisted treatment (MAT)? That is a question of increasing import to people working in addiction treatment and recovery community organizations. In this first of a two-part blog, we will briefly explore why people in MAT experience special(……)

  Proverbs are the daughters of experience. (Rwandan proverb)   Knowledge that can be brought to bear on the recovery experience can be drawn from diverse cultural traditions. Such knowledge is often conveyed as metaphors, slogans, or proverbs. Below are a few examples drawn from the traditional wisdom of Africa. Where available, its origins within(……)

If you have spent any significant time in the worlds of addiction treatment and recovery, you have witnessed couples who survived everything addiction inflicted on their relationship only to have that relationship disintegrate during the recovery process. What is going on here? Recovery from addiction can answer long-proffered prayers, but, without transitional support, recovery can(……)

Addiction recovery is far more complex than a “happily ever after” story. Recovery contains the full spectrum of emotions, including great sadness, because life itself is filled with a rainbow of emotions. The experience of loss in recovery can come in many forms: job loss, financial calamity, fractured relationships, the death of loved ones, and(……)