Plenty of men did not start using to chase a high. They started because the depression was unbearable, the anxiety would not switch off, or the memories would not stay buried, and a drink or a pill made it quiet for a while. The substance was a solution before it became the problem.

Step One treats the mental and behavioral health conditions that sit at the root, because getting a man sober while leaving the original pain untouched is a plan that fails on schedule.