Yes, sometimes. Many people can learn to drink or use some drugs in moderation. Many can’t. Though research is scant on this, our summary of the data, mixed with our experience is that the people most likely to be able to moderate have less intense use, less family history, lower impulsivity, less psychopathology, less drug-using peers and more structure, family, work to which they are accountable. Nevertheless, we will work towards moderation is that is your wish, exploring the successes and setbacks on the journey to your ideal use plan. Medications can be very helpful to curtail cravings and loss of control.