Tag: health

  • one in nine

    Here’s a number that floats through recovery culture like a quiet curse:

    Only one in nine people recover from addiction.

    It gets said softly, like realism.

    It gets repeated like wisdom.

    It lands like a verdict.

    But the number doesn’t mean what people think it means—and the fact that it survives says more about our systems than about human capacity to heal.

    where the number comes from (and what it actually measures)

    Public health data in the U.S. consistently shows that roughly 10–12% of people who meet criteria for a substance use disorder are in stable recovery at any given moment. That’s where the “one in nine” comes from. It’s a snapshot, not a life sentence.

    That distinction matters.

    Because this number:

    does not track lifetime recovery

    does not capture people who recover without treatment

    does not measure reduction, remission, or changed relationships to substances

    does not account for people who cycle in and out of use over decades and eventually stabilize

    It measures who is visible to systems at a specific point in time.

    And visibility, in this country, is a privilege.

    most people recover—just not the way we count

    Here’s the part that rarely makes it into headlines or slogans:

    Most people who struggle with addiction eventually recover.

    Large-scale epidemiological studies (including those summarized by SAMHSA and the National Institute on Drug Abuse) show that the majority of people who meet criteria for substance use disorder no longer meet those criteria later in life.

    Many never enter rehab. Many never join a program. Many never claim the word “recovery.”

    They change because life changes.

    They age.

    They lose access.

    They fall in love.

    They get tired.

    They find something that hurts less than the substance did.

    These people vanish from the statistics. On paper, they look like failures—or they’re never counted at all.

    So when we say “only one in nine recover,” what we’re really saying is:

    > Only one in nine recover in ways the system knows how to track.

    addiction is treated like a moral condition, not a chronic one

    Relapse rates for substance use disorders are comparable to relapse rates for asthma, hypertension, and diabetes. That’s not a controversial claim. It’s well established.

    But addiction is the only chronic condition where recurrence is framed as a personal collapse instead of a signal that support was insufficient.

    We don’t fire diabetics for poor glucose control. We don’t evict people for high blood pressure. We don’t remove someone’s kids because their asthma flared.

    Addiction is different—not medically, but morally.

    And morality is a terrible treatment model.

    why the one-in-nine story survives

    Because it’s useful.

    If recovery is rare, then scarcity feels natural.

    If recovery is unlikely, then abandonment feels practical.

    If addiction is framed as a lifelong failure, then we never have to ask why treatment is short-term, underfunded, and built around punishment instead of care.

    The narrative protects systems that:

    cap treatment at 28 days

    deny medication that reduces mortality

    tie housing, employment, and custody to abstinence

    treat relapse as disobedience instead of data

    The math makes cruelty look inevitable.

    what actually increases the odds

    When recovery does stabilize, the predictors are remarkably unromantic:

    safe, stable housing

    income that covers basic survival

    long-term access to healthcare (including medication)

    relationships that don’t disappear at the first slip

    purpose that isn’t contingent on purity

    Not fear.

    Not slogans.

    Not shame disguised as “accountability.”

    Time helps. Dignity helps. Safety helps.

    None of those fit neatly into a statistic.

    the truer sentence

    Not: only one in nine recover.

    But this:

    > Only one in nine are allowed to recover in ways we’re willing to recognize.

    The rest are still here. Still breathing. Still cycling. Still learning how to live with less pain than they once needed to survive.

    Recovery is not a finish line.

    It’s a long, uneven weather pattern—sometimes brutal, sometimes clear, often misunderstood.

    And if we told the truth about that, the numbers would stop being a prophecy and start being a mirror.


  • chlorine tongue

    Some essays, some days, end up a choppy mess. My writing is on training wheels as I pull up ChatGPT on my phone and feed it memory after memory noticing the air starting to smell of bleach when the tears come. I use my thumbs to slide type memory after memory trying to Frankenstein the memories to make a life I’m proud of. I tell myself I’m writing it all down before I’m forgotten. I’m already forgotten.

    There’s this thing called the hedonistic treadmill that we are all on. I have spent plenty of time on a treadmill used to punish and cope trying to burn fat and burn memories at the same time. I feel especially noble when I go longer than a hour because its all good mental training but I’ve got no race upcoming. Just the race to write it all down before my lung collapse, my heart bursts, my brains stop producing electricity.

    The treadmill means that despite the private chef and mountain dinner I saw you post on Facebook looking glamorous in nighttime chateaus—happiness is elusive for you, too. No matter what happens to you, or me, or anyone really, life will always crash. A fall on the treadmill. Embarrassing, shameful, but no one really cares because they weren’t watching you run on the treadmill in the first place.

    The hedonistic treadmill was never theory to me—it was the machine in the basement gym, the one that shook a little when I hit my stride. Thud thud thud. I’d throw a towel over the screen so the miles couldn’t taunt me, let the numbers sweat in the dark while I kept going. The belt always felt a hair too fast, like it knew something I didn’t. My lungs would start their small rebellion, my calves knotting themselves into warnings, but I’d stay on until the world blurred at the edges. There was a moment—always around minute forty—when the body stopped asking for mercy and just… obeyed. That strange, bleak surrender. That quiet lie that the next footfall might finally change something.

    And then there was always the slip. Not a dramatic one—just that half-second where your heel skims wrong and the belt keeps going without you. A reminder that the machine doesn’t care about your pace, your reasons, your history. It just moves. I’d steady myself, pretend it didn’t jolt me, pull the towel tighter like a blindfold. Thud thud thud. The room humming with fluorescent indifference. There was something almost honest in that moment, the way the body startles before the mind can invent a story. A brief flash of who you really are when the belt jerks and no one’s watching.

    Meanwhile, somewhere else, you were posting those mountain dinners—the candlelit plates, the chateau windows catching the dusk like they’d been engineered for it. A private chef pouring sauce in a perfect ribbon. I saw it between miles, the glow of your life cupped in my hand like something breakable. The belt kept dragging me forward while your night sat perfectly still, staged, unbothered. Thud thud thud. Sweat in my eyes. Your fork paused mid-air. Two versions of living scrolling past each other with all the intimacy of strangers on opposite treadmills—close enough to glimpse, never close enough to touch.

    What they don’t tell you about the hedonistic treadmill is how quickly the body normalizes even the beautiful things. Lottery winners go back to baseline in months; paraplegics, too—though slower, in a different key. Joy burns off like steam; pain settles in like weather. Adaptation is ruthless, almost loyal in its simplicity. I think about that when the belt finds its rhythm under me, when minute forty becomes minute forty-one and the suffering feels strangely familiar, like something the body has been rehearsing for years. The machine never gives you credit for endurance. It treats a triumph like a Tuesday. The same way your chateau dinners become ordinary to you, just another night, while I’m still caught on the treadmill’s half-life of hope—how it spikes, then dissolves, leaving only the thud thud thud of whatever comes next.

    The bleach smell comes when I’ve been crying long enough that my head feels dipped under—chlorine-thick, pool-slick, the kind of chemical sting that somehow steadies you instead of warning you away. I usually write in bed, early morning, the Laramie light still half-asleep, and the tears do what they do: burn at first, then go quiet, leaving that faint swimming-pool aura clinging to my skin. Not unpleasant. More like a reset button the body invented. I’ve bleach-stained half my wardrobe over the years trying to chase that same feeling—over-scrubbing, over-cleaning, as if the fabric might hold the clarity longer than I could. The page knows the smell by now. It rises around me the same way sweat does on the treadmill: not a sign of effort, but a sign I’ve stopped fighting it and slipped into whatever rhythm carries me forward.

    There’s always one memory that won’t bleach out, though it hasn’t even bothered to exist yet. Some future burn, some future clarity, circling like a storm that can’t make up its mind about landfall. I keep rinsing my life anyway—scrubbing the mornings in this Laramie bed, running the same miles on the same worn belt—hoping the meaning will appear in the residue. Maybe that’s the treadmill, too: not the pursuit of pleasure, but the chase for a moment that might finally explain all the others. The page smells like chlorine because I’m prepping for a memory that refuses to arrive, wiping down the present as if it might reveal the blueprint underneath. Thud thud thud in my head even when I’m not running. The sense that something is coming, or should be, or would be, if I could just keep myself clean enough to notice it.

    This house in Laramie feels like a holding tank, a place where the version of me I keep chasing might finally drift close enough to study. The walls don’t offer wisdom, but they do echo—just enough to remind me I’m not finished yet. Mornings here stretch out like runway lights, the kind meant for takeoff but repurposed for circling. I write in the bed that sags a little in the middle, listening to the wind scrape against the siding like it’s trying to sand me down to something essential. Maybe this place isn’t home so much as a pressure chamber, the altitude forcing whatever truth I’ve buried to rise, bubble by stubborn bubble. I keep waiting to hear the click—some internal latch unlocking—but mostly it’s just the low hum of a life that hasn’t decided what shape it wants to be. A holding tank. A waiting room. A treadmill with better scenery.

    But the bleach-scent mornings here in Laramie keep me honest. The tears hit, the air sharpens, and suddenly I’m awake in a way the treadmill never managed. There’s no performance in this room, no digital readout pacing my worth. Just my bed, the wind shouldering the siding, and me trying to wrench something true out of myself before the day crowds in. It feels almost surgical sometimes—this need to cut through the noise, rinse everything down to the part that still hurts, still matters. I don’t know if that’s meaning or just survival. But it’s the only place I’ve found where the burn doesn’t feel wasted.

    The chlorine smell lingers, but the room stays still, like it’s waiting for me to confess something I don’t have words for yet. My face feels raw. My shirt is ruined. The bed looks the same as it did yesterday and the day before that, but something in the air is off—tilted, chemical, bright around the edges. I stare at the ceiling until the shapes blur, the way they used to when I’d push too hard on the treadmill and the whole world would dissolve into a single, pulsing point.

    The truth is uglier than anything I’ve written:

    I’m not trying to clean a memory.

    I’m trying to create one strong enough to hold me.

    The bleach, the sweat, the thud of the belt—none of it lifts. It only digs channels through whatever I am, as if the body keeps making room for something that refuses to arrive. The writing scorches the edges, leaves a heat you can’t point to but still feel hours later.

    There’s no lesson here.

    No revelation.

    Just the quiet, chemical fact of it:

    I keep going because stopping feels like vanishing.