Alternatively, for some - most really - the real possibility of death and real consequences is what was necessary to pull out of it. To break through the delusional behavior. But even then, it may not be enough.

The Issue, imo, is when death is not a certainty, but a surprise consequence (or sudden) due to bad or inconsistent supply, etc.

I recently met someone who it took 6 NARCAN to revive last time he overdid it. Frankly, I’m surprised his body was able to handle it - apparently it was an extremely unpleasant experience.

And, frankly, he might not come back next time.

He seemed to take it seriously. We’ll see.

Not letting your kid touch the hot stove at all is as bad as letting them pull a pot of boiling water down on their head.