Needle exchange programs are often debated from a distance. Michael Cline writes about them from the inside. He remembers using the Lower East Side Needle Exchange during active heroin addiction in the 1990s, learning safer injection practices, accessing clean supplies, and avoiding HIV. His piece is pro-harm reduction, but not simplistic. It asks what these programs can prevent, what they do not solve, and how they could connect more people to recovery.

Kristen Crisp opens her Author of the Month article with a line that refuses to soften the pain: her sister is dead, and the guilt remains. In this deeply personal story, she writes about Robin, a beloved older sister whose cancer history, job loss, family stress, secrecy, and escalating alcohol use made the crisis harder to see until it was too late.

Rob Kent, Esq. writes from nearly 20 years of work in state and federal drug policy, including his time as general counsel at the New York State Office of Addiction Services and Supports. In this Harm Reduction Series article, he explains how witnessing preventable loss changed his view of harm reduction and strengthened his belief in the full continuum of care. His central question is direct: how can we help people stay alive and get better?

ADHD and substance use disorders often travel together, and Dr. Lauren Grawert explains why that overlap is not simply a coincidence. Drawing on genetic, clinical, and treatment research, she describes shared risk, the dangers of untreated ADHD, and the importance of coordinated care. The article also challenges the idea that ADHD treatment should wait until substance use is fully in remission, offering a more integrated path for better recovery and functional outcomes.

Kristen Crisp’s Author of the Month article tells the devastating story of her sister Robin, whose education, professional success, and social standing did not protect her from alcohol addiction. With blunt honesty and grief, Kristen describes the warning signs, the family history of drinking, the trauma and loss that intensified Robin’s use, and the painful truth that addiction does not discriminate.

Tim Lineaweaver remembers hearing that addiction is progressive as a warning, then discovering a more hopeful truth: recovery can be progressive too. In this personal reflection, he traces the shift from alcohol offering relief to alcohol taking over, then describes the difficult first months of sobriety, the wreckage that had to be repaired, and the gradual return of health, hope, family, and purpose.

A vivid dream of sleeping children becomes the doorway into a larger reflection on organismic intelligence: the body’s built-in capacity to move toward regulation, safety, and wholeness. Kristin Onderdonk explores what the body already knows, why modern life teaches us to override those signals, and how pausing long enough to listen can reconnect us with a quieter, older form of wisdom.

Real victimization exists, and Diane Russell Chrestman does not minimize that truth. But in this candid reflection, she explores what can happen when suffering becomes an identity. Using lived experience, ACE awareness, and Internal Family Systems language, she examines the victim role as a protector, the relief it can offer, and the courage it takes to build a life beyond the worst things that happened to us.

Kristen Crisp writes with sharp humor and lived-experience honesty about the reasons she kept drinking for more than 30 years. From low self-esteem and “liquid courage” to the social pressure that made sobriety seem strange, this Author of the Month piece names the loops that can keep alcohol feeling normal long after it has stopped being fun. It is direct, funny, uncomfortable, and deeply human.

Harm reduction is not permission to use. It is a practical plan to keep people alive long enough to have choices. John Makohen offers a direct, compassionate guide to building an overdose safety plan before the most dangerous moment arrives. He covers naloxone, fentanyl risk, reduced tolerance after a break, using a safety buddy, avoiding substance mixing, choosing a safer space, using clean supplies, and writing the plan down so people know what to do under stress.