Once and for all, people must understand that addiction is a disease. It’s critical if we’re going to effectively prevent and treat addiction. Accepting that addiction is an illness will transform our approach to public policy, research, insurance, and criminality; it will change how we feel about addicts, and how they feel about themselves. There’s another essential reason why we must understand that addiction is an illness and not just bad behavior: We punish bad behavior. We treat illness.

At my worst, I even resented Nic because an addict, at least when high, has a momentary respite from his suffering. There is no similar relief for parents or children or husbands or wives or others who love them.

If you subscribe to the idea that #‎ addiction is a disease, it is startling to see how many of these children - paranoid, anxious, bruised, tremulous, withered, in some cases psychotic - are seriously ill, slowly dying. We'd never allow such a scene if these kids had any other disease. They would be in a hospital, not on the streets.

Once and for all, people must understand that addiction is a disease. It’s critical if we’re going to effectively prevent and treat addiction. Accepting that addiction is an illness will transform our approach to public policy, research, insurance, and criminality; it will change how we feel about addicts, and how they feel about themselves. There’s another essential reason why we must understand that addiction is an illness and not just bad behavior: We punish bad behavior. We treat illness.

A world of contradictions, wherein everything is gray and almost nothing is black and white.

I am becoming used to an overwhelming, grinding mixture of anger and worry.

Anyone who has lived through it, or those who are now living through it, knows that caring about an addict is as complex and fraught and debilitating as addiction itself.