he last twenty years produced an explosion of understanding not only of addiction (Substance Use Disorder) but how brains enable human capacities such as valuation, decision –making and social cognition. Addiction shows us how the brain constructs pleasurable experiences, what happens when this process goes wrong, and why this can have a dramatic impact in our ability to make proper choices. Early recovery can be a frightening time, but several groups of professionals have excellent success guiding people through the first year of sobriety and into long-term remission. This is the exciting new area of Recovery management – the philosophy of organizing coordinated, integrated support systems around people seeking sobriety to help them begin, maintain and strengthen their recovery. Dr. Kevin McCauley describes his experience observing the behaviors adopted and challenges faced and overcoming the most difficult part of addiction.