Several years ago I worked with a highly intelligent, sophisticated couple who were severely addicted to heroin. Month after month they struggled to stop, but over and over they found themselves “chasing the high” by taking larger amounts of intravenous heroin or scoring smaller amounts just to keep themselves functional. Finally, they left the States and moved to a kibbutz for a year. They went through a difficult and painful withdrawal syndrome but then lived a drug-free but isolated life for over a year.