Trauma is not merely an event that fades with time; it etches itself into the very fabric of our being, demanding acknowledgment and resolution. Though my experience happened in 2017, it took me four years to give the pain the acceptance and acknowledgment it needed. I got a text from someone wishing me "Happy Mother's Day," and it broke me four years later. It was at that point that I realized that our body keeps the score of every experience we go through.

It sounds radical, but what if substance use isn’t a disorder but a survival strategy for coping with trauma, poverty, or pain? The real issue isn’t in the brain or body but what’s happened to and around them. Recovery doesn’t require another diagnosis, but rather understanding, support, and meeting people where they are. Are we ready to have that conversation?

Substance use disorder (SUD) recovery is a complex, lifelong process requiring coordinated support across health care, social services, and community systems. Unlike other chronic conditions, SUD is episodic and has uniquely high stakes due to the lethality of the current drug supply. The lethality of today’s drug supply means that a gap in care or a recurrence of symptoms can quickly become fatal.