No. We are not insistent on abstinence. We follow Harm Reduction principles. We don’t reflexively see drug use as ‘bad’ but will rather review with you what is problematic about the use patterns. It is essential to really appreciate where the patient is coming from, what is driving the use and why the World’s offerings are not enough to maintain healthy behaviors. Our focus is 1. Reducing harm (to you and the community); 2. Improving movement towards your valued goals. If we can ensure these then we will continue to work with you. We may start with helping you use less dangerously, or develop an ideal use plan.