Addiction: Choice or Disease?

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The addiction debate has divided families for decades: Is it a disease requiring treatment or simply a choice demanding willpower? In this compassionate, straight-talking episode, interventionist Matt Brown cuts through this argument to focus on what actually helps people recover.

Drawing from personal experience and professional expertise, Matt explains why this distinction ultimately matters less than creating the conditions for healing. Using the powerful analogy of trying not to scratch chicken pox, he illustrates how addiction feels from the inside—an overwhelming internal "itch" that temporarily stops when substances are used, regardless of consequences.

The episode explores how addiction changes brain function, particularly affecting reward pathways and decision-making abilities. While the initial use may be voluntary, what follows involves complex neurological changes that compromise choice. Matt differentiates between situational substance use (which some people can stop through willpower alone) and clinical addiction (which requires comprehensive treatment).

Most powerfully, Matt identifies shame as the true killer in addiction—preventing both addicts and families from seeking help. He offers a practical framework for approaching loved ones that transcends the disease/choice debate: creating hope that sustainable change is possible while acknowledging consequences.

Whether you're struggling yourself or supporting someone through addiction, this episode provides clarity, compassion, and concrete next steps. Subscribe for more insights on navigating addiction with both boundaries and love, and join Matt's free nightly support calls at interventiononcall.com for personalized guidance.

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Join us Every Sunday at 8:00 PM PST and Monday, Tuesday, Wednesday and Thursday Night at 8:00 PM EST/5:00PST for a FREE family support group. Register at the following link to get the zoom information sent to you: Family Support Meeting

About our sponsor(s):
SoberHelpline.com If you or someone you love is struggling with addiction, you do not have to navigate it alone. Sober Helpline offers confidential, family-focused support designed to help you understand what is happening, reduce chaos, and take clear, healthy next steps—without pressure or judgment. From practical guidance and education to real-world tools for setting boundaries and finding ethical help, Sober Helpline exists to support families as much as the person struggling. Learn more and access support at SoberHelpline.com.

Intervention on Call is on online platform that allows families and support systems to get immediate coaching and direction from a professional interventionist. While a professional intervention can be a powerful experience for change, not every family needs a professionally led intervention. For families who either don't need or can't afford a professional intervention, we can help. Hour sessions are $150.

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