Individuals must want help before treatment will have any positive effect.
Many individuals do not want help due to a pervasive fear of living without their drug. They don't know how to live. They don't know how to cope with feelings, relationships, or life and use maladaptive and damaging means to navigate our world.
Some of the addictive and maladaptive coping mechanisms commonly used to excess are alcohol or other drugs, gambling, sex, physical exercise, video gaming, self-injury, food restriction, binging and purging, or any other behavior that creates an illusion of control, medicates feelings, and anesthetises internal pain.
No matter how miserable addicts may be, addiction is what they know.
It's predictable. The unknown of recovery and living without the obsession of addiction is frightening, uncomfortable, and unpredictable. Hence, we intervene.