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.

Through Nic's drug addiction, I have learned that parents can bear almost anything....I shock myself with my ability to rationalize and tolerate things once unthinkable. The rationalizations escalate....It's only marijuana. He gets high only on weekends. At least he's not using hard drugs.

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.

Along with the joy of parenthood, with every child comes a piercing vulnerability. It is at once sublime and terrifying

This stigma associated with drug use--the belief that bad kids use, good kids don't, and those with full-blown addiction are weak, dissolute, and pathetic--has contributed to the escalation of use and has hampered treatment more than any single other factor.

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.

I didn't cause it. I can't control it. I can't cure it.