opioid epidemic – Opiate Nation

All Souls, All Saints, All of Us

(Translation into most languages at tab to the right.)

This year, the All-Souls’ Procession in Tucson, where I live, is today. The traditional date for celebrating All Souls’ Day (the Day of the Dead) is November 2nd. It was delayed this year because Halloween was on the same weekend. Tucson has one of the largest processions in the country with several hundred thousand people participating. Preceding this is All Saints Day on November 1^st.

All Saints Day had its beginnings in Roman Church tradition dating back to the early centuries when Christians were martyred for their faith or who had publicly confessed and somehow survived the Roman persecution. The belief was that they were saints and immediately taken up into heaven. By the mid 800’s, Pope Gregory IV assigned Nov. 1^st as the holy feast of All Saints.

All Souls’ Day evolved sometime around 1000 as a time to pray for the souls of all who had died. This is tied in directly with the Catholic Church belief in purgatory and those who are awaiting the joys of heaven. In pleading for them, we are reminded of our own offenses and so inspired to lead purer lives.

My husband, John, and I have walked many times in the procession here in Tucson although we are not Catholics and we believe that all those who have faith in and follow Jesus are saints, as the New Testament teaches.(1) Many Evangelical Christians think it is wrong to participate in All Souls’ events because it is not biblical to pray for the dead and they reject the concept of purgatory because nothing we do can alter ones destination in the afterlife. (2)

While we hold to basic New Testament beliefs, we do not find it contradictory to be part of the All-Souls’ procession in remembrance of our son, John Leif. The procession is a public ceremony to honor the dead and celebrate their lives, allowing participants to release and integrate their grief. Our son’s death from a heroin overdose – a reason many others are there – continues to be a source of sadness and regret. To remember and celebrate him as a person worthy of love is important for us. We do not want to shame him and do not want him to be forgotten.

What is sad to us is the way in which this holiday is treated with similar vitriol that partisan politics infiltrates so many areas of American life these days. There are “Christians” who stand along the procession route shouting out ugly and sinful – yes, sinful – rebukes to those walking in remembrance of their loved ones. Sadly, many people feel it necessary to take a side on almost every issue – and supposed Christians are some of the leading voices. The unholy mixture of politics and “faith” in our country is deeply disturbing to us and absolutely un-Biblical.

While we hold that our beliefs are true and worthy of sharing with others, we also feel it imperative that we respect others’ beliefs and faith traditions without mocking or denigrating them as all New Testament writing demonstrates. This is especially important when it comes to how people choose to remember and honor their loved ones who have died.

In the past several decades, opioid addiction has taken the lives of hundreds of thousands of beautiful young people. We believe they are worthy of being remembered without shame and with love in whatever way their loved ones choose. And in so doing, we hope their lives stand as a warning for other young people tempted into experimenting with increasingly deadly drugs.

I Corinthians 1:2, Romans 1:7, Philippians 1:1, Ephesians 2:19
Hebrews 9:27
History behind All Saints and All Souls:

https://www.osvnews.com/the-history-behind-all-saints-and-all-souls-days/#:~:text=Remembering%20and%20praying%20for%20the%20faithful%20departed&text=He%20instituted%20this%20commemoration%20on,All%20Saints%20DayAll%20Souls

HEALTHCARE – Privilege or Basic Need?

(Translation into most languages at tab to right)

If access to health care is considered a human right, who is considered human enough to have that right?

I critique market-based medicine not because I haven’t seen its heights but because I’ve seen its depths.

~Paul Farmer, M.D., Ph.D. (1)

In sorting through bins of old notes and letters, I knew one bin in particular would bring up painful memories. It was our son, JL’s. It was difficult, as I had imagined. And one of the – no, THE – most painful reminder related to his death from an overdose. It was the fact that we played a role in his preventable death. And so does the American capitalistic healthcare debacle.

The previous New Year’s eve, he was with two of his friends who overdosed and one died. It shook him to his core and he came to us and asked for help. We went together to his addiction doctor and after separate sessions, we then talked together. His doctor said: “This young man cannot start using again because if he does, he will die.” This came from his years of experience working with young people who had been inadverntently caught up in the opioid epidemic of the 2000’s. He felt JL would need to be on Suboxone for a long period of time and maybe for the rest of his life.

JL was hesitant because he had been on Suboxone years ago when it was very expensive and being prescribed at 32 mg a day – a huge amount that left patients feeling like they were drugged. And the worse part was trying to get off it. Tapering off was extremely difficult and took forever – like extended withdrawals.

Aside from the physical hurdles was the cost. It was very expensive and, guess what? It was, of course, not covered by our private health insurance (which cost us almost $1000/mo as self-employed workers) because addiction was not considered a healthcare issue. As a matter of fact, if a person said they had an illegal drug addiction, they would likely be dropped from health insurance coverage and be reported to the police.

What is so painful for us now is that we made the decision that January to drop JL from our costly policy and to not cover his getting Suboxone due to the expenses (it would have been hundreds of dollars a month for the Rx). And in the mistaken belief that he just needed to try harder. We thought this would force him to stay clean – good old fashioned will power and hard work. He did go into a detox program for a month and then into a great sober living program where he did so well we thought we had turned the corner in his 10-year struggle with opioid addiction (which had started when he was 14 and experimenting with Oxy’s).

What we didn’t understand at that time was that opioid addiction is not overcome by willpower. The result was after 6 months, he finally had impacted wisdom teeth surgery and weeks of opioid pain meds – because we thought there was no other option and we thought he could handle it. Within 3 weeks he began using heroin again and after a few days, overdosed and died. August 2, 2014.

What our family did not have as an option was what was finally put into law in 2014: The Affordable Care Act (ACA). This law mandates that all new individual and small-group plans cover substance use disorder (SUD) treatment as one of the ten essential health benefits. It also prevents insurers from denying coverage or charging more because of a pre-existing condition, including addiction.

Sadly, there are politicians who want to revoke the ACA or limit much of its coverage. As the supposed leading nation in the developed world, we are the only one without universal health care for every person from cradle to grave. All of our peer nations have it. Some systems work better than others. Regardless, health care is not seen as an option or a privilege for those who can afford it. It is considered part of a healthy and egalitarian society.

But in order for our government to save money (since our elected officials don’t want to tax millionaires and billionaires equitably), there have been significant cuts to Medicaid and SNAP and changes to the Affordable Care Act (ACA), that are projected to increase costs and reduce coverage for millions. There are too many details to go into here, but the bottom line to me is this:

Why are we even debating how much coverage these programs and health insurance companies offer when we should be pressing for complete health care coverage for all Americans – especially for the least of us who can barely afford food?

If we consider ourselves a nation built on Judeo-Christian principles, how can we not believe that as a society it is our responsibility to care for the sick – as people of faith have always done?

If how we viewed health care changed – as a basic need instead of a privilege – then the necessary changes to our taxing structure and health insurance would change. Where there is a will, there is a way.

Dr. Paul Farmer. https://www.pih.org/paul

Making Use of Wastewater Surveillance

(Translation into most languages at tab to the right.)

Wastewater monitoring is an effective tool in detecting emerging opioid threats, predicting overdoses, and tailoring treatments, according to new research from Biobot Analytics, Mathematica, and the Washington/Baltimore High Intensity Drug Trafficking Area (W/B HIDTA) program. (1)

My husband and I live in Melbourne, Australia part of the year so we can be close to our daughter and family. We love Australians and their friendly and balanced way of approaching life and politics. It is a federal parliamentary democracy similar to England.

One area where they are ahead of the USA is in their approach to illicit drugs. As a nation with comprehensive health care for all from cradle to grave, they have a more communal attitude than our American individualistic posture. They view caring for each other as part of being a healthy and functioning society.

This necessarily affects how they treat people who use illicit drugs. They aggressively pursue educational and preventative measures while also working to keep those who use drugs as safe as possible until they are ready to seek recovery. While they don’t have a fluid border with a drug-producing country like we do with Mexico, they still have a problem with illicit drugs arriving from China and Asia.

One area that they use as a public health strategy is wastewater surveillance such as was used during the Covid-19 pandemic. Samples are collected from wastewater treatment plants, sewer systems, or targeted populations such as college dorms or prisons. When pooled together, they provide a community view of drugs circulating in the population. The samples are analyzed and the data is calculated through very sophisticated methods. The data then give objective, community-wide information on drug use trends. This is of great benefit in tracking changes and identifying new drug use and outbreaks and as an early warning tool. In the US, Biobot Analytics and Mathematica are leading the way with the “Drug-Surge” algorithm. (1) In a study involving five counties across four states, the algorithm correctly flagged between 71% and 100% of drug overdoses.

The US Drug Enforcement Agency (DEA) uses this wastewater testing to detect trends in illicit substances well in advance of reported overdoses. Xylazine was detectable a month before suspected overdoses from it were reported. Geographic and socioeconomic trends can be tracked also. If put to use, a national alert system would give early warning of at least a week in order to alert the public to a new or more potent drug threat.

In the US, the National Wastewater Surveillance System (NWSS) that is run by the CDC began in response to the Covid-19 pandemic. The CDC coordinates a national system primarily for infectious disease monitoring. While drug consumption can also be targeted, a national program does not yet exist. (3,4) Meanwhile, the National Institute on Drug Abuse (NIDA) is working with Biobot and Mathematica and has regional programs focusing on illicit drug use as a response to the opioid crisis.

With the CDC in the midst of worrisome changes, let’s be vocal proponents for increased national coordinated surveillance of illicit drugs in our wastewater and the use of that information to help prevent overdoses and deaths.

Wastewater Data Offers Powerful Tool in Confronting Opioid Epidemic

https://www.mathematica.org/news/wastewater-data-offers-powerful-tool-in-confronting-opioid-epidemic#:~:text=Wastewater%20monitoring%20is%20an%20effective,early%20warning%20for%20new%20threats.

2. DEA Releases 2025 National Drug Threat Assessment

https://www.dea.gov/press-releases/2025/05/15/dea-releases-2025-national-drug-threat-assessment

3. Correlation between wastewater-based substance use prevalence and syringe distribution in a harm reduction program in the United States

https://www.sciencedirect.com/science/article/abs/pii/S0048969725018261#:~:text=In%20the%20U.S.%2C%20although%20the,2019;%20NFLIS%2C%202024).

4. Wastewater-based monitoring could help guide responses to the USA opioid epidemic

https://www.nature.com/articles/s44221-023-00082-9

Just Normal

(Translation into most languages at tab to the right.)

Eleven years ago today my husband John and I woke up thinking it would be just another normal, hot August Saturday morning. But when the sheriff knocked on the door, the day – and our lives – were no longer normal. It is surprising how quickly our lives can go from normal to abnormal.

I was sorting through some files and found a drawing that our son, John Leif (JL) had done when he was around nine. It was obviously of Van Gogh’s “Starry Night” but it was also obviously done by a normal nine-year-old – not an artistic prodigy. And it made me think about how JL was just like any other normal kid growing up in middle-class America in the 1990’s-2000’s. He learned to ride a 2-wheel bike at around five, he played with Lego’s, he took swimming lessons, he loved monster trucks and lasagna and macaroni & cheese with ketchup. But something so abnormal for normal young teenagers ended up ruining some of what should have been the best years of his life and ultimately taking his life – and the lives of many of his friends and hundreds of thousand other normal kids.

What was abnormal was the criminal promotion and availability of highly addictive medicine to young kids by Purdue Pharmaceuticals and the Sackler family. Never before had American kids been exposed to legal drugs (that were promoted as “non-addictive”) that they experimented with as if they were simply trying a joint. And the results were the devastation of the Opioid Epidemic. Which is not over, especially for the once normal kids who are still alive and living with the cancer of addictions. We see many of them on the street corners and under bridges, living from hand to mouth, barely surviving, living anything but a normal life.

Sadly, seeing these shells of once normal kids has become a “new normal” as our society doesn’t seem to agree on how to best provide lasting recovery options with a continuum of care – or whether we even should. In my last Substack podcast and article with special guest Sam Quinones we discuss some ideas from his book “The Least of Us” for how to help get these once normal kids from normal families the help they need to try to return to something like a normal life. (1) Let’s not forget that those addicted people were once normal kids.

JudeDiMeglioTrang1.substack.com

Not the Time to Rest on Our Laurels

(Translation into most languages a tab to the right.)

Resting on your laurels is as dangerous as resting when you are walking in the snow. You doze off and die in your sleep.

― Ludwig Wittgenstein, Culture and Value

In ancient Greece, when athletes competed and won, they were given a laurel wreath as a crown to show off their success. The idiom “resting on one’s laurels” refers to being content with our past accomplishments and not working towards any further improvement. Not exerting any effort and becoming complacent.

I am concerned that we might become complacent after hearing the recent encouraging news from the CDC that drug-related deaths among young people under the age of 35 are finally declining. This after more than two decades of year after year grim news about young people dying from opioid overdoses. And especially from the last 10 years from fentanyl. “Provisional data from the CDC’s National Center for Health Statistics indicate there were an estimated 80,391 drug overdose deaths in the United States during 2024—a decrease of 26.9% from the 110,037 deaths estimated in 2023.Annual drug overdose deaths are projected to reach their lowest level since 2019.” (1)

NPR’s Morning Edition discussed the possible reasons for this decline. (2) In Gen Z young people, the fear of overdose has caused a change in what they experiment with as opposed to Millennials like my son. When he was at the age of experimentation in middle school, highly addictive prescription opioids were the drug of choice. Now, Gen Z experimentation is mostly with weed and psychoactive drugs which normally won’t cause death, although they can be laced with fentanyl which may lead to a new and more deadly addiction. But those age 35 and older who are still living desperate lives addicted to ever-stronger synthetic opioids and/or meth are still dying from overdoses.

And then there is Narcan, the opioid overdose reversal medication that is now widely available and is attributed with saving thousands of lives. Parents and advocates have been working for a decade to make it easy to obtain and administer. But it is not the silver bullet many people hail it as. For opioid addicted people, many have been brought back from overdose only to continue using drugs and thinking they have a quick solution to their long-term problem. But repeated overdoses are causing serious brain injuries from oxygen deprivation, as Sam Quinones writes (3).

Author of Dreamland: True Tales of America’s Opiate Epidemic (2015) and The Least of Us: True Tales of America and Hope in the Time of Fentanyl and Meth (2022), Sam says, “By leaving people on the street to suffer more overdoses, believing that with Narcan they’ll be revived and return to ‘normal,’ we are creating a population of people less able to make rational decisions, more given to erratic behavior, and more at the mercy of the street and its trauma…(Narcan) has great benefits, but also serious limits, particularly in a time of fentanyl and meth, and particularly when it is used virtually without any other tool.”

What’s the answer to this blight that was unleashed on our young people?

Sam continues, “After reporting on this for more than a decade, I believe the solution must start with getting people off those lethal streets and — crucially — into places they cannot leave when the drugs insist that they must. That way, their brains will have a fighting chance to heal. When that happens, readiness for treatment is far more likely to emerge than it will on those streets, where drugs and brain injury so easily conspire and lead to death.”

I encourage you to read Sam’s article for other great insights and pass it along to others. We need to be informed with a perspective gained from all the facts and then work for comprehensive reforms in policies and health care.

U.S. Overdose Deaths Decrease Almost 27% in 2024. May 14, 2025

https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2025/20250514.htm

2. Drug deaths plummet among young Americans as fentanyl carnage eases.

Morning Edition June 10, 2025

https://www.npr.org/2025/06/10/nx-s1-5414476/fentanyl-gen-z-drug-overdose-deaths?utm_source=npr_newsletter&utm_medium=email&utm_content=20250610&utm_term=10186449&utm_campaign=news&utm_id=6355467&orgid=201&uniquet=CYeV6IcF5gy8kS5Vlimppw&utm_att1=

3. Sam Quinones. The Limits of Narcan Alone. June 04, 2025.

https://samquinones.substack.com/p/the-limits-of-narcan-alone

SCOTUS Decision on Purdue Pharma and the Sackler Family

Can money compensate for a life destroyed by a greedy family and their products?

(Translation available in most languages at tab on the right)

My husband and I recently returned from visiting his relatives in Norway. Even in that enviable nation, a mother shared her anguish about the 45 yr old son who is still “living” with addiction to prescription opioids. He is not really living – he is just surviving with little hope for his future as rehab failures mount up.

On Thursday, June 27 the Supreme Court handed down their decision on the Purdue Pharma bankruptcy case in which it would have paid billions for victims and states BUT would have shielded the Sackler family from any future liability.

The majority (5-4) ruled that the bankruptcy court did not have the authority to release the Sackler family members from opioid victims’ legal claims. The Biden administration had argued the bankruptcy court could not release the Sacklers from the claims.

The U.S. Trustee, which oversees bankruptcies under the Justice Department, as well as eight states, Washington, D.C., and the city of Seattle, objected to the Purdue Pharma deal. The trustee argued that the liability the Sacklers face could induce voluntary settlements more favorable than those under the plan and that a win for the Sacklers “would provide a ‘roadmap for corporations and wealthy individuals to misuse the bankruptcy system’ in future cases,” Gorsuch wrote in the opinion.(1)

Dis-Couraged or En-Couraged?

Discouragement is the opposite of having the heart, the courage to face something. It’s when the heart has been sucked out of you. But the en in encouragement means “into”, the process of putting courage into someone. Giving them the heart and hope to go on.

(Translation into most languages at tab to the right.)

It’s time for a confession. I have not been writing many blogs for Opiate Nation in the past two years – not because I haven’t had time but because I have felt discouraged. Decades into the Opioid Epidemic and all the information and media coverage, the hope that addiction and deaths from drug overdoses would decrease has proven unfounded. It seems that people in general are just tired of hearing about it, especially if it doesn’t particularly concern them. And I have felt that I didn’t have anything helpful to add to the conversation and wondered: what more needs to be said?

But I felt reprimanded in my heart and soul for being one more person who is fatigued by the persistence of a problem that seems to never get better, let alone go away. What about all the people living in active addiction? And what about their friends and family who spend sleepless nights and anxious days worried about them? And what of those who have lost loved ones to addiction and are living in debilitating grief?

I started thinking about discouragement and how to “snap out of it”? For me, there is no snapping out of it on my own. Once I’m dis-couraged, I have found that only being en-couraged changes things. And encouragement usually comes to me through two avenues: a few intimate friends and God, both of whom know me well. The words spoken out loud by friends and the ones directly into my soul by God are what lift my troubled and discouraged heart and bring hope and courage.

Courage comes from Latin cor meaning “heart”. The dis in discouragement means “opposite of”. Discouragement is the opposite of having the heart, the courage to face something. It’s when the heart has been sucked out of you. But the en in encouragement means “into”, the process of putting courage into someone. Giving them the heart and hope to go on.

Although my life has not been characterized by addiction personally, encouragement has been important in my life, especially after my son died from addiction. How much more important would encouragement be to those struggling with addiction? And for the families and loved ones of those struggling or already lost? And how can we encourage without enabling?

So, I have been reminded of the importance of an encouraging word. Knowing this, how can I offer encouragement in the arena of addiction and Harm Reduction? Although people do recover from addiction and live full lives, there will always be people struggling with addiction and using drugs. When we acknowledge and accept this, we must try our best to help minimize the harm from that use in the ways we can. For me, that has been through writing to offer information, comfort, and encouragement.

Remembering The Least of Us on Int’l Overdose Awareness Day August 31st, 2022

(Translation into most languages at tab to the right)

I wish everyone could read the penultimate chapter of The Least of Us by Sam Quinones. Its title is the same as that of the book. I have almost every line underlined and starred. In it, he describes the dire state we in Western society are in with addiction, the well-thought out reasons many of our public policies are still getting it wrong, and the slivers of hope that encourage us that the world could look differently for the next generation of young people. Some poignant quotes:

“Underground chemists seem to be searching the chemistry literature for drugs that might be molecularly modified to be more potent…The world Gary Henderson predicted when he coined the term ‘designer drugs’ in 1988 is now with us. Counterfeit pills laced with fentanyl (and new synthetics every day) and made in Mexico now dominate the market…There seems now no way to stop all the bizarre drugs devised by those whose own brain chemistry has been twisted by the profits of the underworld’s free market…recovering addicts face scary odds as long as the drugs that torment them are widely available, potent, and almost free. The now-cliché is ‘We can’t arrest our way out of this.’ We can’t treat our way out of it either, as long as supply is so potent and cheap.”

The Least of Us, Part Two: Big Dope, Consumerism, Supply & Demand

(Translation into most languages at tab to the right)

It’s hard to know where to start in delving in to Sam Quinones new book, The Least of Us. The more I read, the more I want to say in the hope of convincing everyone to read this insightful and comprehensive treatise on how we ended up where we are today in American society and why he finds reasons for hope even amid such despair.

When Sam wrote Dreamland in 2015, he was truly an anthropologist documenting the origins, development and cultural characteristics of the Opioid Epidemic. But Quinones saw beyond the opioid epidemic and warned us of the dangers of synthetic designer drugs and the kingpins who made their products in Magic Bullet blenders and illicit labs. With cheap fentanyl, 100 times more powerful than morphine, traffickers laced it into every other street drug causing tens of thousands of deaths in America. At the same time, they made Meth more potent and cheaper, causing its own epidemic of mental illness, violence, and homelessness. It presents “the rawest face of living addiction. Meth users dragged themselves through the nighttime streets, howling, hysterical, starving.”

When he continued his investigations in The Least of Us, he came to realize that, “In a time when drug traffickers act like corporations and corporations like drug traffickers, the forces looking to manipulate our brains for profit are frightening to behold. So many more synthetic blasts compete for our brain receptors–from chicken nuggets and soda to cell phones and social media apps, methamphetamine and fentanyl.” (1) This is not news to any of us and yet we seem strangely mesmerized to our own state – and that of our children – as we continue to acquiesce to the lure of pervasive consumerism.

Big Dope – like Big Tech, Big Pharma and Big Finance – is Big Business aimed at the voracious consumer market in Western society where traffickers are producing illegal synthetic drugs of abuse year-round. No more having to wait for two or three poppy crops every year. They have easy access to world chemical markets, global banks to wash their money, and weapons to enforce their will. Blood Gun Money: How America Arms Gangs and Cartels written by journalist Ioan Grillo in Mexico, documents the ways guns are easily bought in the US and smuggled south to arm drug gangs in Latin America. Seventy percent of firearms the Mexican military seized in 2018 were made or bought in the US. But Quinones is clear that Mexico, China, and the US all share responsibility for the worldwide addiction crises.

Although the Law of Supply and Demand is commonly associated with economics, it is also part of our daily lives. When the supply of something decreases (making it rarer) or when the demand for that good increases (making it more sought after) the price goes up. Conversely, goods will decline in price when they become more widely available (less rare). This is never truer than in the world of illicit drugs.

Sam Quinones lived and worked in Mexico for 10 years and he believes “solutions will come only when Mexico and the US work together. This is crucial because walls don’t stop dope. Not in an era of free trade.” (2) He stresses that drug demand is important, but the drug epidemic begins with supply. Remember how the opioid epidemic started? Purdue Pharma – Big Pharma – and their relentless marketing (pushing, trafficking, peddling) and unlimited supply of prescription opioids? (3) They were the initial ‘dope dealers’ of the opioid epidemic. Or go back in time to the Opium Wars and British trade merchants. (4) And how about sugar-laced breakfast foods, snacks, drinks? (5) Did we demand them for our children or were they supplied and pushed via relentless advertising by multi-national corporations? And the motivation for all these actions? Money, and lots of it.

Next time, I will share the hope Quinones gained as he traveled the country and listened to stories from those affected by the addiction crisis. I hope that I have piqued your interest sufficiently so you will buy a copy of The Least of Us (6), read it, and pass it on to friends and family.

The Least of Us, pg. 362
Ibid
Where the Buck Stops and Where It Is Hiding – BLOG January 26, 2020 https://opiatenation.com/2020/01/26/where-the-buck-stops-and-where-its-hiding/
Laudanum––an opium tincture that contains almost all of the opium alkaloids, including morphine and codeine––was developed in the 16th century. Many Puritan wives of the whaling merchants used it daily. By the 18th century, the medicinal properties of opium and laudanum were well known. The Chinese knew it was addictive when the idle rich used it “recreationally”, and so they banned it in the 1720’s. But the British trade merchants (some of the early ‘corporations’) saw it as a source for additional income from their colonies. In 1839 the first wars were fought––The Opium Wars––that succeeded in opening up trade with opium from India. Those increased supplies created what we’ve all heard about – Opium Dens – that plagued China for a century.
The Least of Us, pg. 81
https://samquinones.com/

Enjoying the Ride or Reaching the Destination?

(Translation into most languages available at tab on the right.)

My husband and I learned years ago that in many areas, we see and experience the world in very opposite ways. I live in the future, he enjoys the present. I am content with less, he needs more. I want to get to the destination, he enjoys the ride. Our theme song is The Beatles Hello Goodbye: ‘You say Goodbye, and I say Hello’. After living together so many years, some of our ingrained predispositions have begun to change as we have rubbed off on each other – and this is a good thing as I believe it makes us each a more balanced human.

This thought came to mind this week as I began to work on this blog post. Sometimes I am so focused on my destination or goal and being faithful to stick with it that it takes a while for me to realize I am not enjoying the ride. As I wondered why, I realized that it’s not that I don’t feel passionately about advocating for those struggling with addiction and mental health issues. Rather, it’s that I have begun to feel stretched too thin – which is not comfortable or healthy. With the holidays approaching, there are increasing family commitments and events that I want to enjoy and not just endure until they are over. The path to this goal is to be more realistic about what I can and cannot do within my finite energy and allotted time.

This contrast in ideologies applies to recovery strategies as well. When our son was trying to recover from opioid addiction 10-15 years ago, the goal was to complete a recovery program and once and for all become clean and sober – get to the destination. As unrealistic as this seems to us now, it is still a prevailing goal for many recovery programs. Sadly, what it did for our son – and for us – was to set us up for discouragement and shame with every inevitable relapse. Failure.

What I hear from current recovery advocates is that recovery is a goal and a process. If your desire and goal is to become clean and sober, you will embark on a plan of some sort. It is absolutely essential that you get to your destination because with many drugs, continued addiction often leads to death. But it’s also absolutely essential that you understand that it will be a journey with many ups and downs – and that you need to be able to enjoy the ride, the process, as much as possible so that you will have the continued desire to make it to the goal. And that those who are advocating for you, riding with you, will understand and assist you on your journey.

So, in attempting to take my own advice, I am going to discontinue weekly blog posts for a while. Instead, I will write blogs as often as I can and I look forward to your comments and ‘likes’ – every ‘like’ helps with visibility and brings new readers. After almost four years of posts on all aspects of addiction & substances, grief & loss, and mental health, if you search the site, you should find something to bring insight and encouragement for the issues that you are facing today. Let’s enjoy the ride as much as possible as we head toward our destinations.