Sister on and off drugs at college

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

Who blamed a parent? The only person with ill thoughts are parents in this side thread is you. OP didn't mention their mother, you weren't curious? Did she pass away when sister was young, is it possible she has been struggling with grief?

You have a wild imagination. This is up there with you betting that OP's sister was raped. Seriously, you need to get off the interwebs and deal with your own issues instead of playing around guessing about everybody else's issues.

Things I never said or wrote in this thread. But you go on 'head since based on the other posts you seem intent on "winning" this conversation.

16:07: "She’s not blaming the parents but she most likely was raped at some point."

You are talking to two different posters.

[Anonymous]

A valid question is where is the mom?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

She’s not blaming the parents but she most likely was raped at some point.

Get help for projecting horrible things onto anonymous people on the interwebs.

Statistics is your friend.

There is a huge chance she has trauma. Addiction is a disease in response to something underlying, perhaps she is bipolar or schizophrenic but my $ is on trauma.

You, my lady, are the one projecting.

Oh good. Pp has diagnosed a complete stranger and recommended trauma therapy. Ruling out so many other causes, like untreated depression and anxiety or bad choice of friends.

DCUM never fails to disappoint.

What do you think is causing anxiety and depression.

About 70% of addicted adults have trauma in their past.

Just playing the odds.

Anxiety and depression are very often genetic. They run in families, and certainly in DH’s. If you don’t even know this much, you have no business giving advice over the internet.

But you can diagnose her with anxiety and depression?

Of course not. I’m not diagnosing her with anything. I want a professional to do that.

Great but find one that specializes in trauma.

And what if the cause is the other 30% even you grudgingly admit is out there? Or one of the many other reasons the Mayo Clinic cites? OP’s sister is SOL because your “hunch” is wrong and her genetic depression/anxiety goes untreated? You suck. You really suck.

I’m sure a trauma specialist can rule out trauma.

You suck because you are so bent out of shake about the realization that most addicts had trauma in their past.

Remember tgat next time you think fat people just need to eat less.

So if a trauma specialist rules out trauma, then OP's sister has wasted several months with an inappropriate therapist. Do you think that would be a good outcome?

OP's sister needs an ADDICTION therapist. Who will know how to rule trauma in or out, or any other cause, and make the appropriate referrals. This is basic stuff.

And if you go to a therapist that doesn’t understand trauma you could get a misdiagnosis and spin your wheels for decades.

[Anonymous]

who is paying for tons of cocaine?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

She’s not blaming the parents but she most likely was raped at some point.

Get help for projecting horrible things onto anonymous people on the interwebs.

Statistics is your friend.

There is a huge chance she has trauma. Addiction is a disease in response to something underlying, perhaps she is bipolar or schizophrenic but my $ is on trauma.

You, my lady, are the one projecting.

Oh good. Pp has diagnosed a complete stranger and recommended trauma therapy. Ruling out so many other causes, like untreated depression and anxiety or bad choice of friends.

DCUM never fails to disappoint.

What do you think is causing anxiety and depression.

About 70% of addicted adults have trauma in their past.

Just playing the odds.

Anxiety and depression are very often genetic. They run in families, and certainly in DH’s. If you don’t even know this much, you have no business giving advice over the internet.

But you can diagnose her with anxiety and depression?

Of course not. I’m not diagnosing her with anything. I want a professional to do that.

Great but find one that specializes in trauma.

And what if the cause is the other 30% even you grudgingly admit is out there? Or one of the many other reasons the Mayo Clinic cites? OP’s sister is SOL because your “hunch” is wrong and her genetic depression/anxiety goes untreated? You suck. You really suck.

I’m sure a trauma specialist can rule out trauma.

You suck because you are so bent out of shake about the realization that most addicts had trauma in their past.

Remember tgat next time you think fat people just need to eat less.

So if a trauma specialist rules out trauma, then OP's sister has wasted several months with an inappropriate therapist. Do you think that would be a good outcome?

OP's sister needs an ADDICTION therapist. Who will know how to rule trauma in or out, or any other cause, and make the appropriate referrals. This is basic stuff.

And if you go to a therapist that doesn’t understand trauma you could get a misdiagnosis and spin your wheels for decades.

Of course an ADDICTION therapist is trained to look for all possible causes of addiction, and may also be able to provide trauma therapy if that's warranted, or quickly provide a referral. An ADDICTION therapist will be able to recommend the best inpatient and outpatient programs for OP's sister's needs. An ADDICTION therapist will look for other causes as well (and there could be multiple causes or a single very different cause), and make a referral to a psychiatrist for SSRIs/SSNIs or other meds that could help treat underlying causes. Also, an ADDICTION therapist will help OP's family address other issues, like enabling OP's sister.

None of which a trauma therapist is necessarily able to provide. It's surprising you think an ADDICTION therapist only talks about the addiction itself instead of addressing the root causes, but that's exactly what they DO do. ADDICTION therapists provide talk therapy to address the underlying causes, in addition to all the other services I mentioned above. I have experience with ADDICTION therapy for a family member. This is yet another indication that you're not qualified to make recommendations on this issue.

This is a no-brainer.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Sorry. I have not seen a drug addict actually better their life. Either they have died or they have wrecked the lives of others. Hope that your family has a better outcome.

I would like to introduce you to Brian Cuban, yes brother of Mark Cuban, google him, an amazing story and also my kid who is in recovery as well. I am sure you know some but they haven't let you know because you are so closed minded and perfect.

Your kid is in recovery and I wish him and you the best. Life is longer than this period of recovery. Sooner or later, an addict will go back to using. Our family member has gone through recovery and detox 15 times. He is clean and then he is using. A ticking time bomb that has cost the familu heavily. What can you do? You cannot watch them every single minute. It is a disease and it is the brain chemistry that is forever altered. They are tortured souls who will torture the family also.

Not close minded, but very clear-eyed about what we are dealing with.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Sorry. I have not seen a drug addict actually better their life. Either they have died or they have wrecked the lives of others. Hope that your family has a better outcome.

I would like to introduce you to Brian Cuban, yes brother of Mark Cuban, google him, an amazing story and also my kid who is in recovery as well. I am sure you know some but they haven't let you know because you are so closed minded and perfect.

Your kid is in recovery and I wish him and you the best. Life is longer than this period of recovery. Sooner or later, an addict will go back to using. Our family member has gone through recovery and detox 15 times. He is clean and then he is using. A ticking time bomb that has cost the familu heavily. What can you do? You cannot watch them every single minute. It is a disease and it is the brain chemistry that is forever altered. They are tortured souls who will torture the family also.

Not close minded, but very clear-eyed about what we are dealing with.

DP. I'm sorry about your family member and you're correct it's a disease. But you're absolutely wrong that it's incurable. We know a guy who was a drug kingpin 20 years ago and did time for it. He was also a major addict. He's now a family man and owns a small business. He works AA and sponsors other people.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

Who blamed a parent? The only person with ill thoughts are parents in this side thread is you. OP didn't mention their mother, you weren't curious? Did she pass away when sister was young, is it possible she has been struggling with grief?

You have a wild imagination. This is up there with you betting that OP's sister was raped. Seriously, you need to get off the interwebs and deal with your own issues instead of playing around guessing about everybody else's issues.

Things I never said or wrote in this thread. But you go on 'head since based on the other posts you seem intent on "winning" this conversation.

16:07: "She’s not blaming the parents but she most likely was raped at some point."

You are talking to two different posters.

OK, two posters with wild imaginations. That poster is imagining rape and you're imagining a dead mother. That's not the way to help OP out, folks.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

She’s not blaming the parents but she most likely was raped at some point.

Get help for projecting horrible things onto anonymous people on the interwebs.

Statistics is your friend.

There is a huge chance she has trauma. Addiction is a disease in response to something underlying, perhaps she is bipolar or schizophrenic but my $ is on trauma.

You, my lady, are the one projecting.

Oh good. Pp has diagnosed a complete stranger and recommended trauma therapy. Ruling out so many other causes, like untreated depression and anxiety or bad choice of friends.

DCUM never fails to disappoint.

What do you think is causing anxiety and depression.

About 70% of addicted adults have trauma in their past.

Just playing the odds.

Anxiety and depression are very often genetic. They run in families, and certainly in DH’s. If you don’t even know this much, you have no business giving advice over the internet.

But you can diagnose her with anxiety and depression?

Of course not. I’m not diagnosing her with anything. I want a professional to do that.

Great but find one that specializes in trauma.

And what if the cause is the other 30% even you grudgingly admit is out there? Or one of the many other reasons the Mayo Clinic cites? OP’s sister is SOL because your “hunch” is wrong and her genetic depression/anxiety goes untreated? You suck. You really suck.

I’m sure a trauma specialist can rule out trauma.

You suck because you are so bent out of shake about the realization that most addicts had trauma in their past.

Remember tgat next time you think fat people just need to eat less.

So if a trauma specialist rules out trauma, then OP's sister has wasted several months with an inappropriate therapist. Do you think that would be a good outcome?

OP's sister needs an ADDICTION therapist. Who will know how to rule trauma in or out, or any other cause, and make the appropriate referrals. This is basic stuff.

And if you go to a therapist that doesn’t understand trauma you could get a misdiagnosis and spin your wheels for decades.

Of course an ADDICTION therapist is trained to look for all possible causes of addiction, and may also be able to provide trauma therapy if that's warranted, or quickly provide a referral. An ADDICTION therapist will be able to recommend the best inpatient and outpatient programs for OP's sister's needs. An ADDICTION therapist will look for other causes as well (and there could be multiple causes or a single very different cause), and make a referral to a psychiatrist for SSRIs/SSNIs or other meds that could help treat underlying causes. Also, an ADDICTION therapist will help OP's family address other issues, like enabling OP's sister.

None of which a trauma therapist is necessarily able to provide. It's surprising you think an ADDICTION therapist only talks about the addiction itself instead of addressing the root causes, but that's exactly what they DO do. ADDICTION therapists provide talk therapy to address the underlying causes, in addition to all the other services I mentioned above. I have experience with ADDICTION therapy for a family member. This is yet another indication that you're not qualified to make recommendations on this issue.

This is a no-brainer.

An addiction therapist can also help the family conduct an intervention. Many can provide family therapy or can recommend a family therapist. Again, nothing a trauma specialist is necessarily qualified to do.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

She’s not blaming the parents but she most likely was raped at some point.

Get help for projecting horrible things onto anonymous people on the interwebs.

Statistics is your friend.

There is a huge chance she has trauma. Addiction is a disease in response to something underlying, perhaps she is bipolar or schizophrenic but my $ is on trauma.

You, my lady, are the one projecting.

Oh good. Pp has diagnosed a complete stranger and recommended trauma therapy. Ruling out so many other causes, like untreated depression and anxiety or bad choice of friends.

DCUM never fails to disappoint.

What do you think is causing anxiety and depression.

About 70% of addicted adults have trauma in their past.

Just playing the odds.

Anxiety and depression are very often genetic. They run in families, and certainly in DH’s. If you don’t even know this much, you have no business giving advice over the internet.

But you can diagnose her with anxiety and depression?

Of course not. I’m not diagnosing her with anything. I want a professional to do that.

Great but find one that specializes in trauma.

And what if the cause is the other 30% even you grudgingly admit is out there? Or one of the many other reasons the Mayo Clinic cites? OP’s sister is SOL because your “hunch” is wrong and her genetic depression/anxiety goes untreated? You suck. You really suck.

I’m sure a trauma specialist can rule out trauma.

You suck because you are so bent out of shake about the realization that most addicts had trauma in their past.

Remember tgat next time you think fat people just need to eat less.

So if a trauma specialist rules out trauma, then OP's sister has wasted several months with an inappropriate therapist. Do you think that would be a good outcome?

OP's sister needs an ADDICTION therapist. Who will know how to rule trauma in or out, or any other cause, and make the appropriate referrals. This is basic stuff.

And if you go to a therapist that doesn’t understand trauma you could get a misdiagnosis and spin your wheels for decades.

Of course an ADDICTION therapist is trained to look for all possible causes of addiction, and may also be able to provide trauma therapy if that's warranted, or quickly provide a referral. An ADDICTION therapist will be able to recommend the best inpatient and outpatient programs for OP's sister's needs. An ADDICTION therapist will look for other causes as well (and there could be multiple causes or a single very different cause), and make a referral to a psychiatrist for SSRIs/SSNIs or other meds that could help treat underlying causes. Also, an ADDICTION therapist will help OP's family address other issues, like enabling OP's sister.

None of which a trauma therapist is necessarily able to provide. It's surprising you think an ADDICTION therapist only talks about the addiction itself instead of addressing the root causes, but that's exactly what they DO do. ADDICTION therapists provide talk therapy to address the underlying causes, in addition to all the other services I mentioned above. I have experience with ADDICTION therapy for a family member. This is yet another indication that you're not qualified to make recommendations on this issue.

This is a no-brainer.

Talk therapy for addiction is useless.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

Who blamed a parent? The only person with ill thoughts are parents in this side thread is you. OP didn't mention their mother, you weren't curious? Did she pass away when sister was young, is it possible she has been struggling with grief?

You have a wild imagination. This is up there with you betting that OP's sister was raped. Seriously, you need to get off the interwebs and deal with your own issues instead of playing around guessing about everybody else's issues.

Things I never said or wrote in this thread. But you go on 'head since based on the other posts you seem intent on "winning" this conversation.

16:07: "She’s not blaming the parents but she most likely was raped at some point."

You are talking to two different posters.

OK, two posters with wild imaginations. That poster is imagining rape and you're imagining a dead mother. That's not the way to help OP out, folks.

What is the root cause?

There is no mom.

The OP had children while in college (I finished school even while raising two kids, and I had to pay for it myself.)

There’s some missing information besides OP is the perfect child and her sister is lazy.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

Who blamed a parent? The only person with ill thoughts are parents in this side thread is you. OP didn't mention their mother, you weren't curious? Did she pass away when sister was young, is it possible she has been struggling with grief?

You have a wild imagination. This is up there with you betting that OP's sister was raped. Seriously, you need to get off the interwebs and deal with your own issues instead of playing around guessing about everybody else's issues.

Things I never said or wrote in this thread. But you go on 'head since based on the other posts you seem intent on "winning" this conversation.

16:07: "She’s not blaming the parents but she most likely was raped at some point."

You are talking to two different posters.

OK, two posters with wild imaginations. That poster is imagining rape and you're imagining a dead mother. That's not the way to help OP out, folks.

What is the root cause?

There is no mom.

The OP had children while in college (I finished school even while raising two kids, and I had to pay for it myself.)

There’s some missing information besides OP is the perfect child and her sister is lazy.

OK, yes, there's missing information. But speculating that OP's sister must therefore need trauma therapy is not helpful.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Sorry. I have not seen a drug addict actually better their life. Either they have died or they have wrecked the lives of others. Hope that your family has a better outcome.

I would like to introduce you to Brian Cuban, yes brother of Mark Cuban, google him, an amazing story and also my kid who is in recovery as well. I am sure you know some but they haven't let you know because you are so closed minded and perfect.

Your kid is in recovery and I wish him and you the best. Life is longer than this period of recovery. Sooner or later, an addict will go back to using. Our family member has gone through recovery and detox 15 times. He is clean and then he is using. A ticking time bomb that has cost the familu heavily. What can you do? You cannot watch them every single minute. It is a disease and it is the brain chemistry that is forever altered. They are tortured souls who will torture the family also.

Not close minded, but very clear-eyed about what we are dealing with.

DP. I'm sorry about your family member and you're correct it's a disease. But you're absolutely wrong that it's incurable. We know a guy who was a drug kingpin 20 years ago and did time for it. He was also a major addict. He's now a family man and owns a small business. He works AA and sponsors other people.

Hmm

Which is the outlier?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

She’s not blaming the parents but she most likely was raped at some point.

Get help for projecting horrible things onto anonymous people on the interwebs.

Statistics is your friend.

There is a huge chance she has trauma. Addiction is a disease in response to something underlying, perhaps she is bipolar or schizophrenic but my $ is on trauma.

You, my lady, are the one projecting.

Oh good. Pp has diagnosed a complete stranger and recommended trauma therapy. Ruling out so many other causes, like untreated depression and anxiety or bad choice of friends.

DCUM never fails to disappoint.

What do you think is causing anxiety and depression.

About 70% of addicted adults have trauma in their past.

Just playing the odds.

Anxiety and depression are very often genetic. They run in families, and certainly in DH’s. If you don’t even know this much, you have no business giving advice over the internet.

But you can diagnose her with anxiety and depression?

Of course not. I’m not diagnosing her with anything. I want a professional to do that.

Great but find one that specializes in trauma.

And what if the cause is the other 30% even you grudgingly admit is out there? Or one of the many other reasons the Mayo Clinic cites? OP’s sister is SOL because your “hunch” is wrong and her genetic depression/anxiety goes untreated? You suck. You really suck.

I’m sure a trauma specialist can rule out trauma.

You suck because you are so bent out of shake about the realization that most addicts had trauma in their past.

Remember tgat next time you think fat people just need to eat less.

So if a trauma specialist rules out trauma, then OP's sister has wasted several months with an inappropriate therapist. Do you think that would be a good outcome?

OP's sister needs an ADDICTION therapist. Who will know how to rule trauma in or out, or any other cause, and make the appropriate referrals. This is basic stuff.

And if you go to a therapist that doesn’t understand trauma you could get a misdiagnosis and spin your wheels for decades.

Of course an ADDICTION therapist is trained to look for all possible causes of addiction, and may also be able to provide trauma therapy if that's warranted, or quickly provide a referral. An ADDICTION therapist will be able to recommend the best inpatient and outpatient programs for OP's sister's needs. An ADDICTION therapist will look for other causes as well (and there could be multiple causes or a single very different cause), and make a referral to a psychiatrist for SSRIs/SSNIs or other meds that could help treat underlying causes. Also, an ADDICTION therapist will help OP's family address other issues, like enabling OP's sister.

None of which a trauma therapist is necessarily able to provide. It's surprising you think an ADDICTION therapist only talks about the addiction itself instead of addressing the root causes, but that's exactly what they DO do. ADDICTION therapists provide talk therapy to address the underlying causes, in addition to all the other services I mentioned above. I have experience with ADDICTION therapy for a family member. This is yet another indication that you're not qualified to make recommendations on this issue.

This is a no-brainer.

Talk therapy for addiction is useless.

Talk therapy addresses the underlying causes of addiction. Including for depression or trauma or anxiety or low self-esteem or grief. If you think it's useless for addiction, you must think it's useless for anything.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where is your mother? Also, what happened to your sister, what pain is she trying to numb with the drugs?

“Blame the parents for everything” pp has entered the room. Because it’s never normal teenage social anxiety leading to experimentation leading to much more.

She’s not blaming the parents but she most likely was raped at some point.

Get help for projecting horrible things onto anonymous people on the interwebs.

Statistics is your friend.

There is a huge chance she has trauma. Addiction is a disease in response to something underlying, perhaps she is bipolar or schizophrenic but my $ is on trauma.

You, my lady, are the one projecting.

Oh good. Pp has diagnosed a complete stranger and recommended trauma therapy. Ruling out so many other causes, like untreated depression and anxiety or bad choice of friends.

DCUM never fails to disappoint.

What do you think is causing anxiety and depression.

About 70% of addicted adults have trauma in their past.

Just playing the odds.

Anxiety and depression are very often genetic. They run in families, and certainly in DH’s. If you don’t even know this much, you have no business giving advice over the internet.

But you can diagnose her with anxiety and depression?

Of course not. I’m not diagnosing her with anything. I want a professional to do that.

Great but find one that specializes in trauma.

And what if the cause is the other 30% even you grudgingly admit is out there? Or one of the many other reasons the Mayo Clinic cites? OP’s sister is SOL because your “hunch” is wrong and her genetic depression/anxiety goes untreated? You suck. You really suck.

I’m sure a trauma specialist can rule out trauma.

You suck because you are so bent out of shake about the realization that most addicts had trauma in their past.

Remember tgat next time you think fat people just need to eat less.

So if a trauma specialist rules out trauma, then OP's sister has wasted several months with an inappropriate therapist. Do you think that would be a good outcome?

OP's sister needs an ADDICTION therapist. Who will know how to rule trauma in or out, or any other cause, and make the appropriate referrals. This is basic stuff.

And if you go to a therapist that doesn’t understand trauma you could get a misdiagnosis and spin your wheels for decades.

Of course an ADDICTION therapist is trained to look for all possible causes of addiction, and may also be able to provide trauma therapy if that's warranted, or quickly provide a referral. An ADDICTION therapist will be able to recommend the best inpatient and outpatient programs for OP's sister's needs. An ADDICTION therapist will look for other causes as well (and there could be multiple causes or a single very different cause), and make a referral to a psychiatrist for SSRIs/SSNIs or other meds that could help treat underlying causes. Also, an ADDICTION therapist will help OP's family address other issues, like enabling OP's sister.

None of which a trauma therapist is necessarily able to provide. It's surprising you think an ADDICTION therapist only talks about the addiction itself instead of addressing the root causes, but that's exactly what they DO do. ADDICTION therapists provide talk therapy to address the underlying causes, in addition to all the other services I mentioned above. I have experience with ADDICTION therapy for a family member. This is yet another indication that you're not qualified to make recommendations on this issue.

This is a no-brainer.

Talk therapy for addiction is useless.

There's no recovery from addiction without addressing the underlying causes. Just sending someone to rehab won't accomplish anything if they come out and still need to deal with their depression or whatever. You must be the poster who thinks no addict can ever recover.