The harm reduction approach to addressing addictive problems has until recently been highly controversial, the world over. Treatment and other change efforts in India have been primarily guided by the views that addiction is a disease and that the 12 steps are the primary (or only) method for change.
Dialectical Behavior Therapy (DBT) is an approach to psychotherapy designed for individuals who are highly emotionally sensitive, who struggle with depression and anxiety, and who may at times become suicidal. DBT tools, which focus on distress tolerance, interpersonal effectiveness, emotion regulation, and mindfulness, can be helpful to anyone.
Addiction professionals the world over say they’re working toward ending stigma surrounding addiction, but they also tend to promote addiction as a disease. These activities are contradictory. By promoting addiction as a disease they play into the general tendency to perceive in-groups (“normal or non addict”) and out-groups ( addict or those with the disease).
Some people seem to deal with difficult situations better than others. Maybe they’re the only one in the room who keeps a cool head when everyone else gets upset, or the person who seems able to focus on solutions rather than getting mired in the problems. Sometimes they’re the people we go to in a crisis: We trust them to give us wise and level-headed advice when we most need it.