America has faced a pandemic, a polarizing election and racial equity battles in the past year. But there’s been another crisis continuing to fester — the opioid epidemic. Deaths are up with more than 1,200 West Virginians dying from overdoses last year. The fight for sobriety now deals with its own tragic divide — When is someone sober?

The road to recovery comes in many forms. For some abstinence works. But others, especially those addicted to opiates, find they need help to get off of such powerful drugs. For their recovery they turn to medication-assisted treatment. That approach has split the treatment world and created a stigma around sobriety.