Three Challenges

Like a stroke patient who suddenly finds himself needing to relearn basic skills that were once automatic, it may require a level of personal commitment unseen for many years.

Besides COVID cases, I mean. There’ve been several articles recently on the sudden, dramatic uptick in drug overdose fatalities. I picked one to link to:
Pandemic unleashes a spike in overdose deaths
Some observations of my own:

First, this was anticipated by many in the addictions field. Once the focus was off opioid use, the media would aim its search beams at some other issue, and public attention would follow. Awareness declines, attention wanders, and the problem that drew it in the first place quickly reasserts itself

We’re seeing that now with re-opening and what appears to have been a premature effort to return to a version of ‘normality’, pre-pandemic style. It's been more like opening Pandora’s box. We realize now that the spread of coronavirus had only been suppressed, temporarily. Far from eliminated -- any more than alcoholism goes away when someone sobers up for a few months.

Same argument could be made for the resurgence in drug overdose and its...

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Another “Resurgence”

...the preoccupation with overdose death rates inadvertently distracted the public from a much larger and more enduring medical and social problem: an expanding population of persons with chronic Substance Use Disorders (SUDs).

Perilous Prosecution

In one instance, a Corporate Compliance manager came right out and advised a pharmacist that his role was to drive sales for the company. Meaning to keep pushing opioids, above all.

Another “Resurgence”

...the preoccupation with overdose death rates inadvertently distracted the public from a much larger and more enduring medical and social problem: an expanding population of persons with chronic Substance Use Disorders (SUDs).

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Medical Relapse Trap

That is not the doc’s fault, and frankly, it isn't really James’, either. It’s what happens where addiction rules. If not at that moment, then the next.

Higher and Higher

Not completely unexpectedly, the research team found that using the more potent forms substantially increased the risk for cannabis use disorders (CUDs in the US),  as well as anxiety disorders.

Bad Timing

And the principle on which his transition plan would have been based is adaptability to the unforeseen.

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Sober Living

Their presence sometimes go unnoticed because it’s the problem children that wind up in the media, the result of an incident or neighborhood complaints.

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