Each week, I get scores of letters and emails pleading for help. Usually they are framed by circumstances and conditions intended to explain or otherwise mitigate reality's harsh truth. While there are a lot of reasons why people get in trouble when they get high, there is only one reason they keep getting high despite those consequences. They're addicted to alcohol or other drugs.

Only infrequently do I receive a short and to-the-point inquiry from a person in trouble who already know ...

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