Un-Addiction: 6 Mind-Changing Conversations That Could Save a Life

by Nzinga Harrison, Lynya Floyd

Contrary to popular belief, addiction isn't a conscious choice. It's a chronic illness, like diabetes or asthma, that responds to treatment and deserves compassion--yet too many people expect their loved ones to simply recover on their own without interventions. Drawing on peer-reviewed research and decades of expertise, Dr. Nzinga Harrison reveals the factors that predict one's risk for addiction: biology and heritability, childhood experience, physical environment, injuries and health conditions, discrimination, and cultural influence. With revelatory anecdotes and sobering data, Un-Addiction guides readers to unlearn what they think they know about substance use, undo stigma surrounding addiction, and uncover critical conversations that could end the epidemic.

Genres: Self Help, Psychology, Nonfiction, Audiobook, Mental Health, Reference, Addiction

Audio CD

Published January 9, 2024

Reviews

[kimberly · Rating 5 out of 5]

Addiction is not a choice.

Incredibly informative. Full of useful information on how addiction forms, what it can look like, what language is out-dated and what to use now when it comes to people with addiction, how to identify it in yourself and those you love, and how to navigate conversations regarding pre-addiction. This book offers advice on how to speak directly to the different people in your life: friends, children, partners, etc. It also includes tips and checklists (checklists!! rejoice!!) on how to open up the conversation with someone that you worry is struggling from SUD, even if that someone is you. I would recommend this to everyone as we are all susceptible to addiction of some form and even if you think you aren’t, someone you love is.

A wonderful addition to the addiction literature world.

Knowledge is prevention power

[Caitlyn Hermesch · Rating 5 out of 5]

I thought this book did a good job of educating the public on the importance of treating substance use disorders as an illness rather than blaming the person with a substance use disorder for aquiring the disease. I didn’t know about the terms ACEs or PACEs before, but I’m glad I was able to learn about the more clinical side of understanding risk for developing a substance use disorder. Reading this book also tied with the dialogue I’ve been engaging with regarding equity, specifically in education, over the last few months. We cannot always control the environment we’re in or what happens to us, especially as a kid, but we can look to build supportive, trusting relationships and set ourselves up for a healthier life as we continue to grow and learn from our mistakes. As a teacher, I want to meet my students where they are, provide a safe environment, and help to build up their layers of support so that they can hopefully go through life without needing to find a form of relief through the use of drugs.

[Anne Jisca · Rating 5 out of 5]

I appreciated this book so much. It helped destigmatize addiction in my mind, and was such a good reminder of the humanity behind it. The practical advice, the anecdotes, the stories, it all helped bring it home, and stick in my mind. This book is well written, and the subject handled so beautifully. I am very glad I read it.

Thanks to NetGalley for the ARC.

[Markie · Rating 4 out of 5]

Title: Un-Addiction: 6 Mind-Changing Conversations That Could Save a Life
Authors: Nzinga Harrison; Lynya Floyd
Genre: Self-Help, Mental Health, Addiction Recovery
Review Date: [Insert Review Date]

Rating: ⭐️⭐️⭐️⭐️⭐️ (5/5 stars)

Review:

"Un-Addiction: 6 Mind-Changing Conversations That Could Save a Life" by Nzinga Harrison and Lynya Floyd is a powerful and insightful book that offers a fresh perspective on addiction and mental health. With a compassionate and practical approach, the authors present six transformative conversations that have the potential to change lives, providing hope and guidance for those struggling with addiction and those supporting them.

The book centers around the idea that addiction is not a character flaw but rather a complex medical condition that requires understanding, empathy, and effective communication to address. Dr. Nzinga Harrison, a physician specializing in addiction medicine, and Lynya Floyd, a mental health journalist, combine their expertise to create a compelling and evidence-based resource.

Nzinga Harrison and Lynya Floyd's writing style is engaging and relatable, making the book accessible to both individuals personally affected by addiction and those seeking to understand the challenges faced by their loved ones. Their message is conveyed with compassion and without judgment, fostering a sense of connection and understanding.

"Un-Addiction" provides practical tools and strategies for having honest and transformative conversations with individuals struggling with addiction. The authors offer insight into the science behind addiction, dispelling common misconceptions and emphasizing the importance of empathy and non-stigmatizing language.

The six conversations outlined in the book cover a range of crucial topics, from understanding the brain's role in addiction to addressing shame and promoting self-compassion. Each conversation is accompanied by real-life stories and practical advice, making the book feel personal and relatable.

Furthermore, the authors emphasize the significance of support systems and the role loved ones play in an individual's recovery journey. The book provides valuable guidance for family and friends, empowering them to be effective allies and advocates.

While the focus of "Un-Addiction" is on addiction, the book also delves into broader mental health themes, highlighting the importance of self-care, emotional resilience, and fostering healthy coping mechanisms.

In conclusion, "Un-Addiction: 6 Mind-Changing Conversations That Could Save a Life" is a compassionate and transformative resource that challenges societal misconceptions about addiction. Nzinga Harrison and Lynya Floyd's expertise and relatable approach make this book a powerful tool for anyone seeking to better understand addiction and support individuals on their journey to recovery. Highly recommended for individuals affected by addiction, their loved ones, and anyone interested in promoting mental health awareness and empathy.

[Mirella Hetekivi · Rating 5 out of 5]

Without a duobt a must read for literally everyone.

[Emily Reagan · Rating 5 out of 5]

The book about addiction I wish I read years ago — I really grappled with understanding addiction and separating it out from the devastating affects on my family years ago. It was hard to process the hurt, shock and deceit. If only I had this book! This well-organized book is data-driven, filled with relatable stories and amazing at explaining addiction, who is
at risk for it and why. It’s a safe place to think and process when the rest of the world is judging and not ready for these conversations. It helped me be more compassionate and empathetic.

Moat important I now have tools to talk to my kids and educate them so they can prevent addiction.

I will be giving it to my loved one with addiction so that he can find compassion for himself and not continue the self sabotage.

I do wish there was a chapter addressing the bystanders facing addiction and threats day-to-day. How to understand if but also move on from it. But thats’ what therapy is for.

[Kelsey Zundel · Rating 5 out of 5]

I read this book because a college course required it. I was honestly impressed with the book. The education provided is fantastic and beneficial in assisting anyone with substance use disorder and/or creating a better understanding for these individuals.

[Steve · Rating 3 out of 5]

The author makes some good points. However, much of what she identifies is not necessarily new. There is no denying the import points of race and how it impacts addiction and the effective strategy of changing how things are framed to counteract the pull of addiction.

[Joseph Chick · Rating 5 out of 5]

Absolute stellar book! I would say a must read for anyone working in the field of behavioral health, health care or that knows someone impacted by addiction. In other words, a must read for everyone. Well written, organized and though provoking, this is a quick contender for the best book I’ve read on the topic (and I work in behavioral health)

[Jill · Rating 5 out of 5]

I loved this audiobook. I think "Un-addiction" is a must-read for parents, medical professionals and those in recovery.

Nzinga Harrison and her co-author, Lynya Ford, offer a compelling blend of science, updated psychology, education and tips on personal empowerment.

With clarity and passion, they demystify addiction and offer a fresh perspective on language, blame and understanding.

This approach to supporting someone in recovery -- akin to an Al Anon/12-Step program on steroids -- equips listeners with tools to build compassion muscles and navigate the complexities of substance use disorders. The authors also debunk myths and share truths on the diseases/use disorders. Gratefully, they also educate us on how systematic racism and our broken health care system affects people of color.

Backed by research, the book challenges stereotypes and encourages a language shift, emphasizing the neurobiological nature of addiction.

This is a positive, educational, and persuasive guide for anyone who knows a loved one with a substance use disorder or who is overcoming their illness and is becoming "un-addicted."

Special thanks to Dreamscape Media for the advanced listener copy of this audiobook via the NetGalley app.

[Gentry Thomson · Rating 5 out of 5]

I came into this book wanting to learn about addiction in general, and while this book focuses heavily on substance addictions (which isn’t an illness I or anyone I currently know has), I learned so much and feel this book equipped me with a greater sense of understanding and empathy. Like the majority of misinformed people, I assumed once you are addicted to any sort of drug, there is no way out. However, this book talks about the success of treatment, treating other traumas and issues in order to treat the addiction and really brings a sense of hope. I learned a lot and think this is a great book for everyone to read.

[Hannah Finkelstein · Rating 5 out of 5]

One of my 2024 reading goals was to read more non fiction, and Un-Addiction was a perfect way to start working on that goal. Un-Addition approaches discussions around substance use with clarity, compassion, and science.

I feel like I learned so much about the science of addiction, and even in cases where I understood concepts already, I feel like I have better language to explain them now. For example, she compares relapse related to substance abuse disorder to relapse in other medical conditions. We don't shame people who don't follow all their doctor's orders related to treating their asthma, right? So why do we allow that shame to be applied to people with substance use disorder.

Whether you're experiencing addiction, have a friend or family member with substance use disorder, or just want to be a more compassionate and smarter person, definitely add this to your TBR. Thank you to #NetGalley and Dreamscape media for granting me access to this audio arc.

[Katie · Rating 5 out of 5]

I read this book to decide if it might be a good fit to send to people in prison. This accessible, thoughtful resource will give you a new way of thinking about addiction. Dr. Harrison includes chapters about 6 pillars-factors that make substance use more likely, from childhood trauma, environment, and peer pressure. The back of the book includes a list of resources and spaces to track substance use and create a family tree. I could see this being helpful for social workers, primary care doctors, family members, and patients. I appreciated her writing style and her deep empathy, understanding and nonjudgemental approach.
I won a free hardcover from Goodreads.

[Tara · Rating 4 out of 5]

Thanks to NetGalley for this advance reader copy. If you are an addiction, professional, someone that’s facing an addiction, or have a love one facing this battle, this book would be extraordinarily helpful.. Substance use disorders are on the rise everywhere and this book gives a perspective of how to conquer, accept, and face them. Therapist grab with one and have it on your shelf for your clients.!

[Ashley Updike · Rating 3 out of 5]

Full disclosure, I am someone with lived experience in recovery. I've worked for over a decade as a SUD counselor. The last few years I've worked in post overdose outreach and prevention in the public health realm. I know this topic. I believe in science and harm reduction leading my overall philosophy.

It is written to more of a lay person. The first part of the book was stronger than the ending. The parts that addressed stigma and role of racism/oppression on development of addiction was the highlight of the book. The multiple screeners included were also a nice touch. Its useful tool for people curious about their addiction risks.

I had three major issues with the book:

1. It did not really touch on overdose prevention, and harm reduction tools (test strips/needle exchanges/coaching people on how to reduce their risk). It would fit in perfectly in the part of the book addressing family members concerns over a loved one's use. Overdoses for opioids and meth are on the rise. It's healthcare professionals responsibility to teach family members to not only recognize signs of an overdose and how to respond. Narcan is available over the counter and free in a lot of areas. A lot of cities give it out via vending machines and mail. People with loved ones should be encouraged to carry it. Yeck it should be part of a first aid kit. There are test strips that show if a substance has fentanyl in it. This is specifically helpful for people who use cocaine. A lot of time it's love ones that teach people this info. People need to learn about available tools! No one can recover if they're dead.

2. I kept on waiting for the topic of Medication for Opioid Use Disorder (MOUD) to come up. MOUDs range from opioid blockers (vivitrol), Suboxone, methadone and other medications. We know that there is a lot of stigma against MOUD by parts of the treatment industry, recovery community and family members. Yet data shows us that use of MOUD reduces the risk of overdose by half compared to abstinence only SUD treatment. There were more references to 12 step programs in the book - a common recommendation that isn't appropriate for all people and doesn't necessarily have good outcomes. It wasn't until I was 98% way through the book that MOUD finally came up. It was in a critical voice against the medical health industry complex. Now I'm no fan of the system. Her point that MOUD treatment providers don't provide holistic care for an individual is unfair. Most treatment programs aren't holistic (regardless of their philosophy on MOUD). In fact, recent discharge from abstinence based programs increase the risk of overdose.I think that is unfair judgement and reflected underlining bias. Individuals should be presented with unbiased data on how helpful MOUD treatment is. It is our best intervention for Opioid Use Disorder. I was expecting more from an Addictionologist. There are many recovery paths and MOUD has incredibly life changing for many with opioid Use Disorder.

3. It was way too kind towards the medical doctors and addiction treatment industry. It shouldn't be on the patient to provide education to their physician on addiction. Also I don't think a lot of physicians would be interested in being taught by a lay person. Stigma is huge among physicians.

Treatment programs are grossly underfunded, understaffed, underinvested and designed for white privileged folks. It's not evidence based. Often it's imposing a value system onto others. Quality of services really lack in the USA compared to other countries.

I really wanted to like this book more. I did enjoy the author read for the audiobook. I would recommend it to others with the caveat on harm reduction/overdose prevention/MOUD being missing.

[Dwijen Shilu · Rating 2 out of 5]

I recently had the opportunity to listen to the audiobook narrated by the author, which I initially thought would be a unique and engaging experience. However, as I progressed through the book, I found myself struggling to connect with the material. It’s hard to pinpoint whether it was the author’s narration style or the content itself that made it difficult for me to relate.

Having personally battled addiction, I was particularly interested in the six mind-changing conversations that the book promised. I hoped these discussions would resonate with my own experiences and provide new insights or perspectives. Unfortunately, none of these conversations seemed to strike a chord with me. They felt distant and disconnected from my reality, which was quite disappointing.

Moreover, the book included a discussion on racism, which, while important, felt somewhat out of place in the context of the main topic. It seemed to diverge from the core theme of addiction and personal transformation, making it harder for me to stay engaged. This unexpected shift in focus added to my overall difficulty in relating to the book.

[Sophie · Rating 5 out of 5]

Addiction is something I know very little about and this book gave me a solid understanding not only of the dynamics of addiction, but also how to recognize addiction in yourself and those around you, and more importantly have concrete steps on how to help. Throughout the entire book Nzinga keeps emphasizing that her goal is to educate the general public to be able to intervene, in order to de-stigmatize addiction and for me she accomplished her goal in this book. I know that I’ll be coming back to this, it was incredible!

[Lauren Heintz · Rating 5 out of 5]

EVERYONE. And I mean everyone needs to read this. I have been following Dr. Harrison for years now, her work at Eleanor health, her podcasts, interviews, activism and I can tell you she is a superwoman. This is the book about addiction and health disparities in our environment that should become common education for us all. The impact and difference that could come out of the way we view addiction and recreational drug use could save lives, and Dr. Harrison acknowledges and breaks down the most important parts.

[Caitlan Myren · Rating 5 out of 5]

This book does a great job explaining the complexities of addiction all while breaking down stigma and keeping the conversation person-centered. It was easy to read and has many great resources included that I will be using in my work going forward.

[Tamra Minor · Rating 4 out of 5]

This book can save lives. Very knowledgeable and resourceful.

[Katy · Rating 5 out of 5]

Wonderful perspective and re-framing of substance use disorders in the U.S. Clear, concise explanations, talking points and explorations for those seeking to understand or reduce their own levels of use, or for family members and friends of those struggling. Must read.

[Emily Koenig · Rating 5 out of 5]

Everyone in the world would benefit from this extremely compassionate and intersectional book. People are made up of DNA, experiences, circumstances, and even more.

[Robert Bob · Rating 4 out of 5]

Good overview of addiction views & theories- Care for the whole person.
Talk about people with addiction Not 'addicts" Live life with meaning & purpose

[Katie · Rating 3 out of 5]

Highly simplistic overview of addiction-related info. Not bad, but other, better resources out there

[Kelly · Rating 5 out of 5]

Great book, very well researched. enjoyed learning more about a topic that I thought I knew well.

[Erica]

Very interesting. Trying to fill gaps in my knowledge by educating myself! 🩷

[Goblin · Rating 5 out of 5]

This book has quickly become my favorite book about addiction. I have bought copies and shared with my friends. It provides insight about the disease of addiction and guidance to families and those at risk. I especially enjoyed the section about the expanded ACE scores and intersectionality. I highly recommend the ebook narrated by Nzinga Harrison herself.

[NZINGA A · Rating 5 out of 5]

I loved writing this book so much. I hope readers will see themselves in it, their loved ones, all of us! There is a way out of this addiction crisis 🙏🏾

[Heiko · Rating 4 out of 5]

Sometimes a bit over-simplified but overall, I would recommend "Un-Addiction" to everyone. I learned a lot for and about myself.

[tempest blanchard · Rating 5 out of 5]

Great read exploring addiction as a disease.