Addiction, Substance Abuse, and Mental Illness impact an entire family system and support group. By the time families and friends take the first step toward asking for help, they have endured a great deal of pain, frustration, anger, and sadness. Active mental illness and addiction behaviors can hold a family hostage. Uncertainty, hopelessness, fear, chaos, and drama are all emotions and experiences families face when loving someone suffering from substance use disorder and/or co-occurring disorders. Families may feel a lack of hope in their overwhelming journey into “the unknown” as they try to provide help to their suffering loved one, especially when they experience a great deal of pain and suffering from the many failed attempts to help or control the individual. After repeated conversations, pleas, and ultimatums have failed, the situation often continues to deteriorate. The family’s intense feeling of hopelessness is very real. The good news is interventions do work and can jump start the Recovery process; not only for the addict, but for the entire family.