No. Harm Reduction is a broad group of therapies that contrast with abstinence-only or abstinence-insistent programs. In other words, they work with people who have not decided and committed to abstinence. They shift focus to health and well-being, learning through experience and collaboration. And rather than close down conversation with a rigid message they listen to why the person is using, what they feel they are gaining and what they feel would be lost from stopping. When given an opportunity to reflect in a non-judgemental relationship people make healthier choices and can explore their reasons and emotions for use. Shame, in particular, is reduced, permitting assertive self-compassionate steps instead of self-punitive and self-destructive avoidance. Ultimately, many people may choose to quit.