Content Warning: This article discusses drug use, heroin addiction, and trauma. John Makohen, a seasoned substance use counselor and author of *A Heroin User’s Guide to Harm Reduction*, shares his lived experience of life on the streets, the risks of drug use, and the lessons that shaped his journey toward recovery.

Brandi McCurdy, a critical care nurse practitioner and mother, shares her raw story of fighting a broken system, setting boundaries, and learning to love her daughter through addiction while prioritizing her own healing

In Part II of her Substance Use Disorder Series, counselor Belinda Morey shares her deeply personal journey through addiction, suicidal ideation, and the fight for recovery. Drawing from both lived experience and her work in the field, Belinda highlights how even in the darkest moments, hope can emerge through resilience, community, and compassion. This powerful story invites readers to reflect on the struggles of addiction while offering a message of healing and renewal.

Discover how telehealth recovery coaching breaks barriers—bringing private, flexible, stigma-free addiction support into the home.

Homeless people and substance use disorder addiction often co-occur, and, unfortunately, many people struggling with both issues are unable to get the help they need. Substance abuse can develop due to the stressors associated with homelessness. On the other hand, addiction can also contribute to homelessness. Additionally, many homeless people have an addiction as well as other co-occurring psychiatric disorders, which can further complicate their living situations.

Recovery from substance use disorder and mental health challenges is often misunderstood as a single transformation—like crossing a finish line or flipping a switch. But anyone who has been on the path of recovery, or walked alongside someone who has, knows the truth:

Multiple Pathways to Substance Use Disorder Recovery is a highly personalized approach that focuses on strength building, individualized coping skills development, and utilizing resources. Helping the person with a SUD find their path increases buy-in tremendously.

The phrase "Lived Experience" represents a growing movement in the field of substance use disorder (SUD) recovery, emphasizing the powerful effect of individuals sharing their journeys to inspire hope and foster healing in others.

Critics continue to question substance use harm reduction. Advocates persist in fighting for it. But the data is precise: harm reduction saves lives. As patterns of drug use shift and risks increase, strategies such as overdose prevention centers, fentanyl test strips, and naloxone access offer a proven path forward. This isn't theory; it's survival. 

Author Nicole (Nikki) Currivan recounts her difficult path to overcoming a substance use disorder, ultimately achieving lasting remission. Nikki encountered many challenges with substance abuse as her Preferred Provider Organization (PPO) repeatedly moved her from one treatment center to another.

In early recovery, maintaining self-awareness is vital. One helpful tool is HALT. HALT is a well-known reminder for those in early recovery to practice self-care. Self-care helps prevent dysregulation. Don’t allow yourself to be consistently hungry, angry, lonely, or tired. Getting enough sleep, eating healthily, exercising, and spending time with other recovering peers—while managing anger to reduce its harmful effects—are all critical for ongoing recovery.

The connection between mental health, substance abuse, and homelessness in America is undeniably complex. People dealing with mental health problems may turn to substances as a form of self-medication, increasing their risk of addiction. As substance use rises, it can lead to financial hardship, job loss, and broken relationships — all of which raise the chances of ending up unhoused. Conversely, the harsh and often traumatic conditions of homelessness can worsen existing men