Opinion | The message in 'Friends' star Matthew Perry's 15 rehab stints

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Opinion | The message in 'Friends' star Matthew Perry's 15 rehab stints
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Keith Humphreys: About 3 out of every 4 people who have a substance use problem will eventually recover — if they keep at it. - NBCNewsTHINK

, which influences what people find rewarding, what motivates them and how well they can control urges. At the same time, the world is saturated with cues that can trigger desires to return to substance use, such as advertisements for alcohol, cannabis and tobacco products. Friends and family who use may also undermine recovery by offering to share or sell drugs they have in their possession, or by applying peer pressure to join in.

From left, Courteney Cox, Jennifer Aniston, Lisa Kudrow, and Matthew Perry in a scene from "Friends".But not all “failed” attempts are fruitless. Sometimes an unsuccessful attempt results in the person using less, or using in less dangerous situations. It can also help individuals learn which recovery strategies work for them, and which do not, and to identify high-risk situations for relapse that they should avoid.

While it is easy to become discouraged and self-blame after relapses, they are, in fact, often a part of the long-term process of recovery. Because addiction is a chronic disorder, recovery usually requires long-term changes in skills, motivation, behavior and environment. For most people, there is no way to tell in advance whether any particular attempt will succeed. All we can know is that it won’t happen without significant effort.

If recovery attempts involve seeking professionally provided addiction treatment, especially those delivered in high-end residential programs, repeated attempts can be financially ruinous. But the $9 million spent by Perry, who says he has abstained from drugs

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