Old Friends, Survivor’s Guilt and Surviving

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I grabbed the jersey display case from its perch on the bookcase in the den. I tucked it under my arm as I walked through the house and out the door. When I got to the middle of the driveway, I took it in both hands, raised it above my head and threw it down at my feet as hard as I could throw it. Glass exploded and flew in every direction as the crash echoed through the neighborhood. Perfectly fabricated wood joints shattered and seemed to chase the glass. As the echoing subsided, the pieces came to rest in different parts of the driveway, while the jersey laid crumpled at my feet. I stood in the driveway in the middle of it all with my hands on my hips, cursing the wreckage, fuming over the death of a friend a year and a half earlier. And I felt enraged by what I saw as the absolute futility of life. I called out God, Higher Powers and every other spirit I’d ever heard of for their collective inaction. I cursed the Universe. I begged them all for a sign or a signal, and I dared them all to give me their best shot. Oddly enough, the fact that there was no response from anywhere in the living world nor the world beyond only served to fuel the rage that had finally come out. “F*** YOU,” I said, pointing down at the mess at my feet, “AND F*** YOU, TOO,” I said, raising my arms to notify the rest of the world. It was at that moment that I had in fact, had it.

This was the culmination of over a year and a half of seething, festering guilt and frustration, over acting “as-if” and of playing the part. It was pretending to make temporary sense of a permanent loss. I tried to act as if, I tried to go along and get along. I tried to pretend all was well and that what I was really feeling was sadness, and it was a natural part of the process of grief, especially when someone young dies unexpectedly. But the truth was that I wasn’t sad. I was sick of getting along, and I was tired of acting as if. I was angry because Dave’s passing devasted his family. I saw the faces of his old friends and neighbors at the funeral. I was angry because I remember calling Jimmy to give him the news, and I remember his reaction. I was angry because the three of us finally had stuff figured out, together, and now it was gone. I was angry because he had his whole life ahead of him. I was angry because he didn’t reach out and I was angry because I didn’t do enough to stop it. I was angry because the three of us had come so far. And that day, in one feeble, violent, misguided moment, I took it out on a carefully crafted display case which held an old jersey in memory of my friend. Now that was ruined, too.

To know Jimmy and Dave was to know life itself. They both had tons of friends growing up, they were charismatic, they were popular and they were each blessed with a great sense of humor. They were both talented athletes. Jimmy was built like a linebacker, a position he played with an enviable efficiency. He had a square jaw and a smile that could make you feel both at ease and yet still wonder what he had just gotten away with. Dave was a quick, smaller bundle of energy, an energy that you could actually feel. He and I had our lockers next door throughout school because of our last names. He had an infectious laugh and was a walking, talking social event. His family owned the bakery in town and I will never forget the beautiful sights, smells and tastes we were blessed with on a regular basis from that magical little place. The two of them were a memorable part of the cast of characters in our small hometown.

We were always teammates and classmates, although it seems that the three of us were never really all that close back then. After graduation, and the school years which contained both highlights and scrapes with authority, along with the prerequisite growing pains, we each went our own directions out into the world. One of us would enter and exit the military, one of us would scale water towers, and one of us would fail miserably at two colleges, before reuniting in our small town, to begin rebuilding our lives.

********

I literally ran into Jimmy not quite ten years later at the bank in town. I was begrudgingly going to the Alcoholics Anonymous meeting in the basement that night at the urging of my family, when I swung open the door and ran into my old friend, who was on his way to his car. Jimmy had been in recovery for a year and had a good job with a big construction outfit in the area. We spent some time after the meeting catching up and after some convincing, I agreed to go to meetings regularly. He became my mentor and my babysitter. The drinking hobbies we began in high school as “boys will be boys” -type behavior had become full blown addictions in almost no time, only to somehow lead us back home to try to sort it all out. After the reunion that night, we were pretty much inseparable, and it seemed we had almost come full circle.

A few months after our meeting in the doorway of the bank in town, Jimmy and I received word that Dave was back in the area, too. He had run into some trouble, and we went to visit him to see how we could help. Then there were three.

We began working on clearing the wreckage of the past and getting busy with the work of getting our lives back a little at a time. We were sober, clean, recovering and kicking all kinds of ass at it. Meetings, conferences, more meetings, making amends, helping others, sharing our stories at schools in the area. We even returned to the church we had spent so much time in growing up, which we thought to be kind of poetic. We talked about the glory days of football and basketball. We talked about college and owning businesses and houses and whatever else came to mind. We had dreams again and we weren’t shackled to our addictions, waiting to die. We were alive. We held each other up, we held each other accountable and we walked through it all together. You didn’t miss a meeting or someone would be there, banging on your door. You answered your phone even if you were busy or didn’t feel like it, because it was what you were supposed to do when someone reached out. If one of us had a court date, we all had a court date. We high-fived and trashed talked each other. We were at once humbled by what we had survived and confident and proud of our new lease on life. We were, in so many ways, back.

********

But as time wore on in our new lives, maybe we started to become complacent. Maybe we took some things for granted. Maybe there were some underlying things we didn’t or couldn’t fix within us or between us. I’ve never been completely sure, and that’s always been part of my problem with the whole thing. Maybe the high fives weren’t shared as often. Maybe the conferences, meetings and speaking opportunities became easier to brush off in favor of new things. Or old things. Maybe we stopped being grateful. Maybe we stopped telling each other the truth. But in the middle of it all, we had lost our way, and I didn’t know exactly how much until we couldn’t get ahold of Dave.

Jimmy didn’t seem too bothered by not being able to get in touch with Dave, at first. There were all kinds of possible reasons, and they didn’t have to be bad ones, he thought. I was frustrated, but in the end, we both figured he’d come around. There had been a few things that had happened recently that may have accounted for it. Maybe he got a job. Maybe he was pissed at us. Maybe he was burnt out on recovery and the pace at which we were going. We decided, fatefully, to give him space. For two weeks we went on with life – work, meetings, family- waiting for him to come back to the fold.

********

The alarm went off that Friday just like it did every other morning, the beep-beep-beep pulling me out of slumber to be replaced by a clicking sound and the local radio news morning update. I sat up in the dark, eyes still shut, when I heard, “A one car crash over night leaves…. County Road A….David…..”

I rubbed my eyes and yawned and I had to rewind and play again in my head what I thought I had just heard. Confused and still half awake, I grabbed the radio and tried to tune in other stations on the chance that I might hear it again, but I got nothing. Turning the radio off, I called work and told them that I wouldn’t be in, that a friend had been in an accident. I dressed on the way to the door and put my shoes on as I hopped down the sidewalk toward the car. It can’t be, I thought.

I drove and thought. Thought and drove. My mind raced and feared the worst, and then a wave of reassurance due to being half asleep and the belief that I simply had not heard it correctly. But I still felt I had to drive down there and check. It couldn’t be. The farther I drove and the closer I was to the approaching town, the better I felt. Stupid dream.

Then, rounding the last curve in the road on County A, the last corner before town, I saw the tire tracks. I saw the car. I saw the police cars. I saw the tape. I saw the tow truck parked off to the side. I pulled over and got out. I leaned up against the car with my arms folded. I didn’t know what else to do. After some time, an older deputy approached me. We talked for a few minutes about what details he could give, he shared his condolences and went back to work. It was surreal. It was bullshit. It was over. On the way back to town, I wondered what his family must have been going through at that moment. I wondered how they were ever going to make it through the loss of a son and brother. I wondered how Jimmy would take it, and I wondered how I was going to tell him. And I wondered why. Then there were two.

********

We were never the same after Dave’s passing. Jimmy couldn’t even bring himself to go to the funeral and I went mostly because I couldn’t bring myself to not go. We talked a lot, Jimmy and I, but it was never the real, teammate, crunch-time, got-your-back, kind of stuff that we had grown accustomed to. There was no banging on the door if one of us missed a meeting. There was no car in the driveway if we didn’t answer the phone. Little by little, Dave’s passing, and our assumed responsibility for not preventing it, slowly pulled us into the swamp of relapse. Eventually we just stopped calling and contacting each other because we each believed we were a little more at fault than the other for what had happened somehow. We carried the burden as quietly as we could for as long as we could.

While I don’t believe Jimmy ever touched another drink, I know that he fought demons that rarely let him rest. For my part, I stayed clean for another eight or nine months before I went back to using, and only a few months after that came the day I spiked the case on the driveway and challenged the world to a fist fight.

********

It was twelve years after Dave passed, that I learned Jimmy had died suddenly. That was in 2006. Over that twelve-year span, I had to work to recover from addiction and fight mental health issues, and to deal with the memory hoarder’s paradise that is survivor’s guilt. Counselors, therapists, other addicts, family, friends, enemies -you name it- I had help. It wasn’t an exercise in valor or the yearning for a higher level of existence, it was an exercise in survival. And then there was one.

It was during the time of my Dad’s passing, in between Dave’s and Jimmy’s, that a pastor put a hand on my shoulder and suggested that maybe the best we can do is take them with us on our journey until we meet again. I’ve never forgotten that, and that little act of kindness and empathy forged a gigantic shift in my view and perspective on the finite of life, and the infinite universe, but that’s a story for another time.

That shift, that little spark, was part of a lengthy process moving from fixating on something I could never change and riding it to hell and back, to coming to the belief that there is a different way. Who wins a war with the Universe? Who calls out spirits and challenges a God or gods he isn’t even sure he believes are real? Who seeks closure through rage? I did, and it didn’t work. When you get your ass kicked that badly, sometimes it’s best to accept it and regroup. There is no science to it, and it may not even make sense. All I know is that it seems to work day to day, and I am not imprisoned by guilt anymore about something I could never control in the first place.

********

Today, I am where I am in no small part because of Dave and Jimmy. And although I don’t carry the baggage I used to, I love them like brothers. I am grateful for the time we got to spend together, even in the eye of the storm. There is no doubt that they helped people achieve lasting recovery while they were here, and I owe it to them to keep walking, come what may. Without our paths crossing back then, I’m sure there would have been an early end to my own story.

Today, I use the suggestion I received and I take them with me, and we get to do the things said we would. After I’d been in recovery for quite a few years, I went back and finished school and earned a counseling degree. Behind the curtain that graduation night, I met with Dave and Jimmy. We made it, gentlemen. Each time I reach another year in recovery from addiction, I call on them. We made It, Fellas. Before playing football for the first time in twenty-one years, I walked over to the corner of the end zone during pregame and met with Dave, Jimmy and Dad. We made it, gentlemen. When our granddaughters were born, I made it, Guys… When it’s quiet and there is that fleeting moment of clarity and peace, however brief, that we once worked together for…. We made it, gentlemen.

And it isn’t just them. Others who have passed, I’ve learned to take along the best I can. That is something I carry without fatigue. I am still part of this world, don’t get me wrong. But I am grateful today to be able to do it until we meet again, however and wherever that is. That is of course, if God or the spirits don’t hold grudges and if the Universe isn’t sore for my tantrum in the driveway all those years ago.

We made it, gentlemen.

In memory of

Dave Mickelson

and

Jim Torpen

Old Coaches, Depression and Warrior Mentality

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It was during the fifth day of my third inpatient treatment, fresh off a four day detox, when my newly appointed counselor looked up from her assessment notes, and asked,  “Have you ever been diagnosed with depression?”

We had been sitting in her office for what seemed like days. She asked me questions about everything from my friends and family to my drug of choice to thoughts and feelings.  I didn’t really give much thought to the answers until she asked the one about depression.  Up until then I had never been screened or diagnosed with anything.  I was in a treatment facility for alcohol and drug addiction after all, and not for depression.  I had no idea at that time that depression was real and that addiction and depression could be related.

The only time I’d ever seen a psychologist or psychiatrist up until that time was after I wound up in my first detox stay and weekend hold, and that was only to assess whether or not I was a danger to myself.  The night I ended up in that detox, I had been out with some friends one evening and, as was the norm, I drank too much.  What wasn’t the norm -at least at that time- was that during a blackout I threatened people’s lives (including my own), and I was apparently unhinged enough that my Dad had to hold me face down in the yard, after one of the times I fell, until the policeman in town and the ambulance arrived.  I still remember, many years later, Mom crying and Dad apologizing to me as he held me down to protect me from myself.  It turns out that a blood alcohol level four times the legal limit agreed neither with my mind nor my body, and it didn’t do much for the people around me, either.

Back to my counselor and the assessment.  In hindsight, that question, and her insight and willingness to ask after it had been missed in previous interventions, probably did a lot to save my life.  She connected me with a doctor in the area who had a lot of experience with patients with co-occurring disorders, patients with two different issues going on at the same time.  In my case they were addiction (substance use disorder) and a suspected depression.  The result of our meeting was that I was diagnosed with clinical depression, and I learned as we continued to meet that it is something that I had lived with as far back into my childhood as I could remember.

 

When I was diagnosed with depression, I felt two completely different emotions at once, or within  seconds.  When the doctor described the diagnosis and some of the symptoms and how they may explain some of the deep, dark things I was going through at that time, I felt an enormous amount of relief.  There was a name for it.  It was something I didn’t have to (if I so chose) hide anymore.  There was help.  There was treatment.  There was hope.  Then, an instant later, a feeling of dread washed in like a wave on a beach, ruining the neat little sand castle of hope that my mind had built on the shore during that few seconds of relief.  Dread, of course, due to the realization that now not only would I have to fight a drug and alcohol addiction that was raising hell in every facet of my life, while I seemed almost eager to aid in the destruction any way I could, there was another enemy to fight in depression.  However, what I learned over time was that the dread was unnecessary.  It wasn’t really a new opponent.  It was a new label.  I used to describe it with words like “empty” or “dark.”  From that point on, it just had a new name.

All this happened many years ago now, around the time of the big antidepressant boom of the late 1980s and early 1990s, and over the years I was prescribed everything under the sun which was thought to ease depression, rewire the brain or to help balance brain chemicals, with varying success.  Back then, antidepressant medications were everywhere and were thought to be real life savers for people with mental health issues, issues that up until that time were often not spoken about, even between family members, close friends or spouses.  Depression, anxiety and the like were often seen as weaknesses, and they could be fixed much like addiction, with new routines, added diligence and more will power.  There was a long-standing stigma to mental health issues, and sadly, some of that still exists.

That day in treatment was many years ago now, and although it marked a turning point for me in my battle with addiction and depression, I wasn’t able to achieve long-term recovery from alcohol and drugs for some time after this.  At that time, I counted it a failure, my not staying clean after that treatment experience.  But I’ve learned in the almost 18 years of recovery since that it wasn’t a failure, and I didn’t lose the war.  I lost a battle.  There is a huge difference.

There is a question often posed in treatment and recovery circles, and for people with co-occurring disorders, about which disorder came first, a chicken or egg thing, I guess.  Some people claim their depressive disorder or anxiety disorders are brought on by addiction.  Some say trauma makes one or both likely, in either order.  In my case it is clear cut.  I’ve never wondered about it.  Depression, the “empty,” was a tenant in my head long before addiction was, but they seemed to feed off each other once I found alcohol and then drugs.  I look back at some of the people who were unfortunate enough to be in my life at that time, and I wonder, among other things, how some of them didn’t lose their sense of reality in what must have been a heavy storm for them, or lash out at me in fear or frustration, which they did not. In the end people in my life at that time had two choices: they could stay and eventually become pulled into the ongoing chaos, or they could save themselves and leave.  Sometimes I left because even early on, the alcohol and drug use had become a full time job, which didn’t leave much room for anything else.  I was continually trying to kill the depression and fill the empty with chemicals, and I did it until I couldn’t do it anymore, but that’s another story for another time.

“The opposite of depression isn’t happiness, but  vitality.”   -Andrew Solomon

Today, I still battle depression and it is all a part of daily recovery.  It hasn’t gone away, and I don’t kid myself thinking that it ever will.  There are days when I am pretty sure I can take on the world and come out of it okay, while there are still days that are quite the opposite.  There are days when I cope well and there are days when I act like a pissed off four year old in the midst of a sugar crash.  I’ve seen people tougher than me die from addiction and depression, and I’ve seen people overcome odds that seem impossible.

I have been fortunate enough to have been able to adopt and adapt my mindset as my journey continues, and I learn from a lot of inspiring, motivating people who battle their opponents daily.  Even words, terms and my perspectives on things have changed along the way.  Words have meaning, and I don’t share the following to upset anyone else on their journey with addiction recovery or mental health recovery.  I share it because it is important to me, and it has been important in my recovery from both.  Earlier I said I battle depression, and that is what I mean. I used to struggle with addiction.  I used to suffer from depression.  Today, I battle it, and that simple change in terms and perspective has been invaluable in the way I approach recovery.  I don’t suffer from it.  I don’t struggle with it.  I don’t bow down to it.  I don’t use it as a crutch.  I battle it, and I prepare, not as a victim or prisoner, but as a warrior.

 

When I was growing up, my classmates and I had the privilege of playing different sports at a small school for three coaches who would later end up in their respective coaching halls of fame.  Each of the three had vastly different coaching styles, huge knowledge bases and experience, and unique ways of communicating their knowledge and developing skill.   There was also the belief that we were never out of a game, no matter the score, if there was still time left on the clock.  I recall arriving at film studies and chalk talks and being met at the door with scouting reports that were so thorough and film that was so dissected that we knew more about the teams we were going to play than they knew about themselves.  Although I have borrowed a lot from their teachings and applied them to my life over the years, the one thing that stands out above all else was their preparation and attention to detail, and they were masters at both.

Perspective and preparation have gone hand in hand in my battle with depression and journey through recovery. As someone who suffered or struggled, I spent a lot of time reacting, playing defense, and waiting for my opponent’s next attack.  I was always tired, and it seemed I could never really plan or enjoy anything because I could never really be sure when the next wave would hit, and I didn’t do a good job preparing for it either way.  That isn’t to say that thinking about an obstacle differently somehow changes the obstacle.  In my experience, it doesn’t.  It changes me.

Today I have a scouting report on my opponent and I use it.  Today I better understand my skills and abilities as they pertain to battling depression and continuing the journey of recovery.  I have family and friends, I have hope and the gift of today.  I can share my experience in hopes of helping others, when for years I kept it all hidden.  Adopting a kind of warrior mentality and having the mindset that my opponent is beatable has truly made all the difference.

 

 

On Pep Talks and Beating Goliath

Several years ago, as I was nearing the end of a substance abuse counseling internship, I was asked to deliver a graduation message at the correctional treatment facility where I had been working. The message would be a small part of the ceremony for a group of inmates I had had the privilege of working with who had successfully completed the treatment program there and were nearing release. I got to spend a lot of time with the men in the program and I learned a lot about not only their offenses, their sentences and their addictions, but about them as people- their hobbies, their families, and sometimes their hopes and dreams. They were all very different people in age, class, profession and ideology. Most of the time it seemed that the only thing they had in common, really, was that they all new their release dates and they were all dealing with the consequences brought by their addictions.

By the day of the graduation I felt confident that I had put together a half way decent message. As the ceremony began, the large commons room was filled with different staff members of the prison, invited guests and family members from the outside, and the graduating men. A few minutes before I was to speak, I snuck one last peak down at my cards to make sure I had them all, and had them all in order, when a staff member sat down beside me. This staff member had been at the prison for many years and, from everything I had seen up to that point, was everything one could imagine in someone who provides addiction treatment. "Don't waste your time on a pep talk, it won't do any good." Then, just as quickly and quietly as they had sat down, they were gone.

Webster's Dictionary says that a pep talk is, "a usually brief, intense, and emotional talk designed to influence or encourage an audience."

I remember that to this day, and I often think about how it pertains, in the way of pep talks or outside motivation, to me and my own recovery journey. And why some people give up, when others don't. No matter the reason for the statement -whether brought on by frustration, bias, fatigue, hostility, or any other reason- I realized it said much more about the professional in that instant than it did any of the offenders. Truth be told, it gave me a resolve that I have hung on to since then that I would counterbalance that attitude in the universe by never betting against the possibility of recovery, no matter what the odds seem to be. Because if you've been around addiction and recovery long enough, you know that David can beat Goliath.

Back to that day. I remember most of it vividly. It was quite an event, complete with a powerful Native American drum ceremony, words of congratulations and celebration, gratitude and excitement, held together with reminders about vigilance and caution. My little talk? I don't think it qualified as much of a pep talk, and to be honest, it is one of the things I remember least about the whole day. What I do remember is the people. I remember people who were thrown together in what wasn't a beach-side. five-star resort-type rehab, to work on their problems, to pay their debts and to try to change their lives and to help those who were in the same predicament. A common goal. I sometimes wonder about those graduates and how their lives have turned out in the years that have come and gone since then. I wonder if they are still in recovery despite the obstacles many of them faced, and I am always hopeful that they are able to accept and enjoy and share the gifts that come with recovery from addiction.

In the end, we don’t need to be Vince Lombardi or Bear Bryant or Pat Summitt or John Wooden to make an impact. I guess we just need to be whatever it is that we are. When we show others we believe in them and we are pulling for them, often just by showing up, especially after they’ve fallen or are in a tough spot, we can spark hope. And hope is the foundation of not only recovery, but in the conquering of all things once thought impossible.

5 Things I’ve Learned About Addiction

I have been in the addiction and recovery arena in one way or another for almost 30 years.  About half of that time was spent battling addiction personally, in and out of treatment centers and detoxes, with fleeting stints of sobriety. The other roughly half of that time has been in continuous, sustained recovery.  During my time in recovery, I’ve been able to see things from the eyes of someone who struggles with addiction, someone who has his own recovery path and someone who has spent time as a substance abuse counselor.  My attitudes and biases have naturally changed as I have grown and gained knowledge, which seems to be a requirement if one is to defeat an enemy who is constantly at the gate.  Here are five things I have learned about addiction.

ADDICTION IS ONE OF THE MOST MISUNDERSTOOD ILLNESSES ON THE PLANET. There is an old saying that has to do with alcoholics being around since man first learned to crush grapes.  If you believe that as I do, that covers many centuries. In more recent times, Alcoholics Anonymous was founded somewhere around 1935, and the American Medical Association declared alcohol addiction an illness 1956.  If my math is right, that is 85 years and 64 years ago, respectively.  One would think that with all of the technological, scientific and sociological advances made during that time, we would have a better handle on the symptoms, causes, treatments and recovery paths for something so destructive.  And we would have a better view of the illness as an illness, and not a punch line, a head shake or an opportunity for horrible advice.
Yet, addiction is still widely misunderstood, even in 2020.  Doctors prescribe treatment they believe will help, yet medical professionals have over prescribed opiates to the point of being one of the catalysts to an epidemic.  The War on Drugs has gone on for over 45 years and has cost well over a trillion dollars, with really no meaningful, positive change.  In fact, the War On Drugs has been called an abject failure, but that is another post for another day. I promise.
Family members, friends and coworkers close to someone with a substance use disorder are often heard saying, “I wish they’d just quit this nonsense,” or “If they would just stick to beer.”  Movies portray addicts in ways that seem to exaggerate the symptoms to make a point.  Even the news media is involved.  It is not uncommon (in my area is it very common) for the local news to report on a burglary, high speed chase, standoff, or some other crime where charges result in, among other things, possession of heroin, methamphetamine and/or THC. These are just a few examples, and I’m not picking on anyone.

In modern society, we fix things with pills, when often pills are what get us into trouble in the first place.  (Don’t believe me?  Two words: television commercials.)  Family members, friends and coworkers also mean well, and often travel to the ends of the earth, and to the edge of sanity and well passed exhaustion, to help.  But, despite the best efforts of everyone involved, sometimes we contribute to the muddying of the waters and don’t do well to separate the myth from the truth concerning addiction, treatment and recovery.
All too often, if something is said enough times, if we see it in the news or on social media enough, even if it is completely wrong, it somehow becomes truth (see: politics). Stigma is a huge issue that perpetuates the myths concerning addiction.  Underfunding by our national, state and local governments is another barrier in the understanding of addiction, the reduction of stigma and the availability of treatment for those who struggle.  We can do better.

ADDICTION COSTS A LOT.  According to the National Institute on Drug Abuse (NIDA), substance abuse in the U.S. to alcohol and drugs costs over $520 billion annually. Let me say that again. FIVE HUNDRED-TWENTY BILLION DOLLARS per year.  The Institute includes crime, lost work productivity and healthcare costs in its numbers, while the healthcare numbers alone are $27 billion for alcohol and roughly $11 billion for illicit (illegal) drugs and $26 billion for prescription opiates.  (The cost concerning opiates will surely go up as new data is processed and becomes available.)  To put that into perspective, the cost of the effects of tobacco use and addiction in the U.S. costs roughly $300 billion a year, with over half of that ($168 billion) being healthcare costs.  Not only is addiction and its consequences costly for the person who struggles and for those close to that person, it is also a huge drain on our economy. Imagine if we spent anywhere near that on education, intervention and treatment accessibility and availability. And what if we spent money to develop prevention programs that work?

ADDICTION IS NOT A CHOICE.  I grew up in a small town in a neat neighborhood. My sister and I had lots of friends within a few blocks and the neighborhood was always alive with activity. Some of us wanted to be doctors when we grew up. Others wanted to be cowboys. Princesses. Astronauts. Dirt bike riders. Mechanics. Nurses.  Sometimes our future career choices depended on the popular TV shows or movies of the day. At the risk of dating myself, I’ll stay clear of listing those here.  But, of all the kids in my the neighborhood where I grew up, not once did anyone ever say they wanted to grow up to be an addict.
Addiction is a primary, progressive illness. It can travel alone or, as it often does, it can occur with other conditions like depression, anxiety disorder and so on.  It’s also impossible to predict with certainty who will become addicted to alcohol or other drugs or when it might occur. But there are some risk factors including genetics, age of onset (use), a preceding mental illness and trauma.
People make the choice to abuse, that is, to use a substance to gain a desired affect. People choose to binge drink. People choose to take pills or take a various array of other chemicals in many ways to gain or lose something in their lives, even temporarily, and I’m sure you’ve heard some of these reasons. To lose boredom. To gain excitement. To gain energy. To lose sadness. To lose stress. To gain camaraderie. To gain concentration. To lose weight. We could go on and on. But people choose, whether it is drinking to access, or to double a prescription dose, or to smoke, sniff or inject a substance. Obviously, we all make choices, and sometimes those choices have far reaching consequences. However, to make the connection that since one chooses to abuse, one then also chooses addiction, is irresponsible and really lazy. We choose to abuse. But we don’t choose to become addicts.

ADDICTION IS TERMINAL IF LEFT UNTREATED.  The American Medical Association classifies addiction as a disease and follows a disease model, much the way it classifies diabetes, heart disease and cancer.  The AMA also says that causes are sometimes determined by biological, environmental and behavioral factors. There is much debate about addiction as a disease or an illness, and a quick Google search can open up all sorts of thoughts and ideas on what addiction is to different people and organizations.  Here is where I usually ask people to do all the research they can. Ask questions, reach out. Find credible sources. Think critically.
This July will mark 18 years of continuous long term recovery from alcohol and drugs for me, but I believe truly and completely that I am only in remission.  One drink or drug will surely activate my illness.  You may ask how I know that. I gained valuable yet costly, first-hand experience on relapse personally before I gained long term recovery, and I’ve watched countless others do the same.
NIDA defines addiction as, “a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences.”
There are other definitions that echo this idea, some are quite long and more in depth.  For simplicity’s sake, I like to use this definition, and it describes my own addiction, and the addictions of the countless others I have met over the years, perfectly: “Addiction is chronic, and as such will get worse and never better over time if left untreated.”
According to the National Institutes of Health, approximately 88,000 people in the U.S. die each year from alcohol-related causes.  The CDC estimated that in 2017, there were over 72,000 opiate overdose deaths, which included both prescription and illicit drugs. To put that number in some sort of perspective, that was 197 people per day, every day, in 2017, from opiates alone.

ADDICTION IS BEATABLE.  Now that we have all that other stuff out of the way, we can get to the good stuff. Addiction is treatable, it is beatable, and you or someone you love can get their lives back. There are millions of people around the world who celebrate long term recovery. For all the data involving the negative aspects of addiction, there is also data on recovery. There are many pathways to recovery, and each path is as unique as the individual who makes the journey, and there have never been more pathways to recovery than in years past.  Recovery from addiction is possible, and there are millions of us who are proof of that, and there is plenty of room for millions more.
One of the most basic keys to recovery is that it is self-directed, meaning that the person recovering is in charge of determining the path he or she will follow.  Of course, there is much help out there to help guide along the path, or even to help one make the decision of which path to follow. The intervention someone who struggles with a substance use disorder receives, meaning the interruption of behavior, whether family, law enforcement contact, medical, or self-directed, can come in many forms.  Whatever form that intervention comes in, considering consequences, can be the foundation for an effective plan for recovery.
This is certainly not an unabridged, comprehensive reference guide on addiction. These are merely a few things I have learned along the way. There are many resources available online to learn more about addiction treatment, recovery groups, detoxification when needed, and often a medical professional can assist in finding the best option and level of care