Dr. Brian Ackerman MD, a seasoned Harvard Medical School Trained psychiatrist, offers a carefully thought out and engagingly illustrated framework to aid our understanding of alcohol and substance use disorder. Alcohol and Substance Use Disorders are seen as forms of self-injury. The ultimate antidote is accessing the determination and drive to take better care of ourselves and reign in our self-injurious impulses. When we more fully have our mental health we actively choose to self-care, and not self harm.