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.

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.

The hopeful part about that is when you do have that help, you will feel better. It still doesn't make this easy. Nothing makes this easy, but you can make better decisions.

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.

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.

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.

How can both Nics, the loving and considerate and generous one, and the self-obsessed and self-destructive one, be the same person?