Progress is Progress

Progress is Progress

The Great Sobriety Showdown: When Abstinence Meets Harm Reduction (And They Both Get Awkward)

Belinda (Belle) Morey's avatar
Belinda (Belle) Morey
Jul 29, 2025
∙ Paid

Let's talk about the elephant in the recovery room: the endless battle between abstinence-based treatment and harm reduction. It's like watching two parents fight over the "right way" to raise their kid, except the kid is addiction recovery, and both parents think the other one is completely destroying their child's future.

I've worked both sides of this fence. Started in residential treatment, where even thinking about a substance was grounds for a stern talking-to, and now I'm in an outpatient clinic where we're a bit more... flexible. Let me tell you, nothing prepares you for the mental gymnastics of switching teams.

The Abstinence Olympics

The abstinence folks have a beautifully simple philosophy: just don't use. Period. End of story. Go directly to recovery, do not pass go, do not collect $200 worth of substances. According to Freedom Addiction, in theory, abstinence is 100% effective at reducing drug-related harms. I mean, they're not wrong – can't have drug problems if you don't d…

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