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behavior. Lying, cheating, avoiding, sneak- ing, defending, fighting, running, using, and recycling old and newwounds is much more time consuming than the temporary discomfort that arises from going for the long-term rewards of emotional and sub- stance sobriety. The hard part is convincing the limbic system of this concept. Humans are very adaptable and will veer, adapt, and normalize. This process of veering, adapting, and normalizing slowly moves a person so far from their life and essence that life does seem futile and hopeless. Hope launches the first stages of sobriety (pre-contempla- tive, contemplative, action) and keeps one motivated through the process of long-term sobriety (maintenance). Hope enables the person in recovery to believe recovery is possible, and along the way, small successes become the foundation for sustained hope and a prosperous life. n REFERENCES 1 Harrison, J.E. “Pandora’s Box.” The Journal of Hellenic Studies 20 (1900): 99-114. 2 Heilig, M.; Mackillop, J.; Martinez, D.; et al. “Addiction as a brain disease revised: why it still matters, and the need for consilience.” Neuropsychopharmacology,46 (2021): 1715–1723. https://doi.org/10.1038/s41386-020-00950-y 3 Raja, S.N.; Carr, D.B.; Cohen, M.; et al. “The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises.” Pain 161, no. 9 (Sep. 1, 2020): 1976-1982. doi: 10.1097/j. pain.0000000000001939 4 Ellison, M.L.; Belanger, L.K.; Bauer, M.S.; Evans, L.C. “Explication and definition of mental health recovery: a systematic review.”Administration and Policy inMental Health andMental Health Services Research, 45 (Oc. 25, 2016): 91–102. https://doi. org/10.1007/s10488-016-0767-9 5 Horseman, C.; Meyer, A. “Neurobiology of addiction.” Clinical Obstetrics and Gynecology 62, no. 1 (March 2019): 118-127. doi: 10.1097/ GRF.0000000000000416 6 Gaiseanu,F.“Pathological expression and circuits in addiction and mood disorders: Informational relation with the brain and info-therapy.” EC Neurology 13, no. 8 (August 2021): 24-31. 7 MacKillop, J. “Is Addiction Really a Chronic Relapsing Disorder?: Commentary on Kelly et al. ‘How Many Recovery Attempts Does It Take to Successfully Resolve anAlcohol or Drug Problem? Estimates andCorrelates FromaNational Study of Recovering U.S. Adults.’” Alcoholism, Clinical and Experimental Research 44, no. 1 (January 2020): 41-44. doi: 10.1111/acer.14246 8 Goodall, J. The Book of Hope. Celadon Books (2021). [Google Scholar] 9 Jha,D.; Singh,R.“Analysis of associations between emotions and activities of drug users and their addiction recovery tendencies from social media posts using structural equation modeling.” BMC Bioinformatics 21, suppl. 18 (Dec. 30, 2022). doi: 10.1186/s12859-020-03893-9 10 Ottonello, M.; Fiabane, E.; Pistarini, C.; et al. “Difficulties In Emotion Regulation During Rehabilitation For Alcohol Addiction: Correlations With Metacognitive Beliefs About Alcohol Use And Relapse Risk.” Neuropsychiatric Disease and Treatment 15 (Oct. 14, 2019): 2917-2925. doi: 10.2147/NDT.S214268 11 Dowla, R.; Sinmaz, H.; Mavros, Y.; et al. “The Effectiveness of Exercise as anAdjunct Intervention to Improve Quality of Life and Mood in Substance Use Disorder: A Systematic Review.” Substance Use & Misuse 57, no. 6 (2022): 911-928. doi: 10.1080/10826084.2022.2052098 12 Cooney,G.M.; Dwan,K.; Greig,C.A.; et al.“Exercise for depression.”CochraneDatabase of Systematic Reviews 9 (Sept.12,2013).doi: 10.1002/14651858. CD004366.pub6 13 Zangeneh, M.; Ala-leppilampi, K.; Barmaki, R.; Peric, T. “The potential role of physical exercise in addiction treatment and recovery: The social costs of substance misuse.” International Journal of Mental Health andAddiction 5,no.3(2007): 210- 8. doi: 10.1007/s11469-007-9111-7 14 Brown,B.The gifts of imperfection: Let go of who you think you’re supposed to be and embracewho you are. Simon and Schuster (2010). 15 DeYoung,P.A.Understanding and treating chronic shame: A relational/neurobiological approach. Routledge (2015). 16 Gagne, C.; White, W.; Anthony, W.A. “Recovery: a common vision for the fields of mental health and addictions.” Psychiatric Rehabilitation Journal 31, no. 1 (Summer 2007): 32-7. doi: 10.2975/31.1.2007.32.37 17 Veseth,M.; Svendsen,T.S.; Nesvaag,S.; et al.“‘And then the rest happened’—Aqualitative exploration of the role thatmeaningful activities play in recovery processes for peoplewith a diagnosis of substance use disorder.”SubstanceAbuse 43,no.1 (July 2021): 260-266. doi: 10.1080/08897077.2021.1941506 18 Grim, B. J.; Grim, M.E. “Belief, Behavior, and Belonging: HowFaith is Indispensable inPreventing andRecovering fromSubstanceAbuse.”Journal of Religion andHealth 58,no.5 (2019): 1713-1750.doi: 10.1007/s10943-019-00876-w 19 Beraldo,L.; Gil,F.;Ventriglio,A.; et al.“Spirituality, religiosity and addiction recovery: Current perspectives.” Current Drug Research Reviews 11, no. 1 (2019): 26-32. doi: 10.2174/18744737116661 80612075954 “A strong spiritual practice is also a discipline in taking time to connect through reading, meditation, quiet time, prayer, and other ways to feel connected to something larger than oneself, allowing for a place of serenity.” HEALTHCARE JOURNAL OF NEW ORLEANS I  SEP / OCT 2022 29

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