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Truth and I would change that statement just a bit:

Any * successful * treatment requires the patient to want treatment.

In addition, the triggers for it all need to be addressed.

Those can be:

Simple pain, trauma

More complex financial issues, housing, etc...

PTSD of various kinds, war, abuse and the like.

Without a plan to address triggers and desire to be done with it all, treatment success is extremely unlikely.

I agree but I find it is actually harder to recover when the focus is on finding the reasons for addiction

We are fallen creatures and simply accepting our fallen nature might be more productive

Yeah, I did not mean to place the why in front of the basics.

The primary is to want to be done.

It all starts there.

How ending it goes really depends on the person. Take it one struggle at a time. Wash, rinse repeat.

Having finished, one tends to look around and ask, "what now?"

And that is what I meant. Have some options for people that are not doorways back.