The History of Addiction Treatment: Sin, Disease, Medicine & Harm Reduction

The History of Addiction Treatment: Sin, Disease, Medicine & Harm Reduction

How addiction treatment went from moral failing to disease to harm reduction — 240 years of recovery history, told through lived experience. This is a peer recovery podcast, not medical advice.

I'm Anthony, an alcoholic and addict in recovery since 2015. In this solo episode of Recovering Out Loud, I walk the whole arc of how society has explained and treated addiction — moral failing, disease, medicine, harm reduction — and why every one of those models is still alive in the room today. You can meet all of them in one 12-step meeting, one hospital, one comment section.

The 12 steps are younger than the telephone. Methadone is younger than television. Almost everything we call "treatment" was invented inside living memory. Here's the timeline:

From sin, to disease, to medicine, to just keeping people alive — each model didn't replace the last. They're all still in the room, arguing. Recovery isn't one thing and never has been. Whatever door worked for you — 12 steps, medication, harm reduction, a fellowship — it exists because people before us refused to accept moral failure as the final word.

The opposite of addiction is connection.

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Episoder(163)

Complacency in Recovery: Why I Felt Less Alcoholic as Life Got Better | Borrowed Wisdom

Complacency in Recovery: Why I Felt Less Alcoholic as Life Got Better | Borrowed Wisdom

Ever been the person everyone walks on eggshells around? Sober, and still miserable?In this Borrowed Wisdom episode, I read from a recovery talk by Bob D. that I keep coming back to. I share my own li...

12 Nov 16min

Uncover, Discover, Discard: Self-Awareness in Recovery

Uncover, Discover, Discard: Self-Awareness in Recovery

Everyone has a locked room in the house: the past we don't want to look at. Today we open the door.In this solo episode of Recovering Out Loud, Anthony shares a three-part process from his own addicti...

10 Nov 18min

How to Tell Intuition From Your Addict Brain | Spirituality in Recovery Without Religion

How to Tell Intuition From Your Addict Brain | Spirituality in Recovery Without Religion

Your gut feeling and your addiction can sound exactly the same. Here's how to tell them apart.That little voice saying "maybe don't go to that party" is intuition. The voice saying "you've earned one,...

5 Nov 24min

Protecting Your Recovery in a Chaotic World (Without Checking Out)

Protecting Your Recovery in a Chaotic World (Without Checking Out)

How do you stay sober and at peace when the news, your feed, and the world feel like they're on fire?In this episode of Recovering Out Loud, I talk about what I call the pocket of recovery. That's the...

3 Nov 26min

Why Cravings Get Louder After You Quit : Spotting, Naming & Surviving Triggers in Sobriety

Why Cravings Get Louder After You Quit : Spotting, Naming & Surviving Triggers in Sobriety

Triggers don't mean you're failing at recovery. They mean you're a person in recovery. At a wedding last night, a table conversation about ADHD meds lit my brain up instantly — and it made me want to ...

29 Okt 26min

Are You Still an Alcoholic or Addict After Years Sober? The Label Question

Are You Still an Alcoholic or Addict After Years Sober? The Label Question

Do you have to call yourself an addict to stay sober? Here's what the label means to me.A listener sent me a DM that stuck with me: after years sober, calling herself an addict felt like it was keepin...

27 Okt 16min

How Do You Forgive Yourself for What You Did Using and Drinking?

How Do You Forgive Yourself for What You Did Using and Drinking?

Shame about your past doesn't keep you sober — research says it predicts relapse instead.If you've struggled with addiction or alcoholism, you've probably done things you're not proud of. Drove drunk....

22 Okt 18min

The Skill That Unlocks Every Other Skill in Recovery : Open-Mindedness

The Skill That Unlocks Every Other Skill in Recovery : Open-Mindedness

Denial is a closed mind pointed inward — and nothing in recovery changes until it cracks. I was absolutely certain I could handle it. Certain I wasn't "as bad as those people." Certain I could take AD...

20 Okt 17min

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