Federal data shows more than 80 percent of people with substance use disorders get no treatment, not because it doesn't exist, but because most doctors refuse to provide it. The research on what works outside a clinic is clearer than you think.
Wildfire smoke raises your stress load and closes the trails that keep you level. The research is incomplete, but the risk is plausible now.
A growing wave of the LGBTQ plus community is celebrating Pride without alcohol, proving that queer joy does not require a drink. From sober drag queens to alcohol free events, the movement is redefining what celebration means.
Your body signals relapse before your mind recognizes the craving. Machine learning algorithms reading wearable data can now give you a 60 minute warning, enough time to actually do something about it.
Most outdoor recreation has alcohol woven into its social fabric. Here is how to find the hiking groups, camping crews, and trail communities that actually understand what recovery requires.
Nobody warned me about the grief. That first night without a drink by the campfire, I was not craving alcohol. I was mourning a version of myself that no longer existed. Here is what five years of sober camping has taught me about getting through that disorientation and building something real on the other side.
Forget the ultralight obsession and the influencer kit lists. Here is what genuinely matters when you are new to hiking and new to doing it without substances.
Hey, I’m Mike. I’m 34 years old, three years into my ice climbing obsession, and almost six years sober. If you met me at a party before I got sober, you probably thought one of two things: “This guy’s hilarious!” or “Wow, this guy needs to chill.” I was always the loudest one in the room, the guy cracking jokes, challenging people to arm wrestle for no reason, and somehow always ending up wearing a lampshade on my head by the end of the night.
DeFulio and Silverman offer an insightful review of contingency management (CM) as an evidence-based intervention for substance use disorders. CM involves providing tangible rewards, such as vouchers or prizes, contingent on demonstrating positive behaviors like abstinence or treatment adherence.