When the program talks about getting down to causes and conditions, I always understood this to mean we begin to identify those things that set us spinning in the first place. Once addicts begin to spin, the force and destruction that results can be detrimental not only to us but the ones around us. It seeps into our work and personal lives in insidious ways. And that destruction need not result from substance use; our illness is a mental illness. It’s our thinking that derails.