Amber Hollingsworth argues that a central missing piece in long-term addiction recovery is actively addressing motivation — not just educating people that addiction is a disease or telling them how to stay sober. She emphasizes the difficulty because addiction impairs the brain’s motivation centers, which makes motivating someone inherently challenging and often leads to relapse.
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The key to getting someone into long term recovery is not all about just teaching them that they have a disease. It's not all about telling them what they need to do to stay sober and helping them stay motivated to make those changes. Which I gotta tell you, is a pretty freaking hard job. Because addiction impacts the motivation center of your brain. So you're trying to motivate someone whose literal motivation center isn't working properly. And that's why so many people give up. And that's why you hear so often from family members, treatment centers, counselors, people in recovery. They're always saying they gotta want it. There's nothing you can do until they want it. And they say that because that's what their experience has told them. But the question is, does that mean that there's nothing that can be done? Does that mean that it's not part of the treatment process to get someone motivated? Because that is the missing piece.