A special issue of the Psychology of Addictive Behaviors (February 2023) features articles focusing on “addictive behavior as behavioral allocation;” that is how shifts and the balance in molar (extended or continuous) behavioral investments contribute to recovery or the worsening of substance use problems and life difficulties (https://pubmed.ncbi.nlm.nih.gov/35787099/). This was a déjà vu of sorts for me as I proposed a not-dissimilar hypothesis related to the intersection of work dysfunction and addiction as having common roots in the Journal of Substance Abuse Treatment (Comerford, 1999; https://pubmed.ncbi.nlm.nih.gov/10194742/).  In short and in combination, all of these articles speak to the role that context, change, and the development of self-efficacy play in whether someone moves toward a stable recovery or the reverse over time. The implications for treatment and the role that social determinants and having opportunities for rewarding alternatives for substance use from which to choose.  Tough problems today as I was recently reminded by a counselor who stopped by to ask if I had ideas to help an older woman with no resources and few if any options; I had nothing to add to the great work that had been done.  Once yet again, the tough decisions we guide with empathy, and all the continued support we can bring to bear in the face of the limited resources we often have to work with.  By the way, I am often awestruck by some of the miracles we pull off in the face of these persistent challenges.  The full text of the two articles noted above and the complete journal are available at the links provided and may spark some ideas for crafting continuing care plans as we continue to advocate for more ways to help.