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Sane: Mental Illness, Addiction, and the 12 Steps
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Sane: Mental Illness, Addiction, and the 12 Steps
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Weight: 0.64 lbs
Sane: Mental Illness, Addiction, and the 12 Steps
Author: Marya Hornbacher
Marya Hornbacher, the bestselling author of Wasted and Madness, offers an honest and illuminating examination of the Twelve Steps of Alcoholics Anonymous for those living with both addiction and mental health disorders. Drawing on her own experiences with bipolar disorder and substance use, Hornbacher guides readers through the special challenges of working each Step when co-occurring issues are present.
She explores how mental illness can complicate traditional recovery approaches and addresses the reality that many people in recovery need therapy, medication, and mental health support alongside the Twelve Steps. With courage and clarity, Hornbacher demonstrates how the Steps can still provide spiritual sustenance, practical guidance, and a framework for stability, one day at a time.
About the Author:
Marya Hornbacher (b. 1974) is a journalist, essayist, novelist, poet, and internationally recognized speaker on addiction and mental health. Her groundbreaking memoir Wasted: A Memoir of Anorexia and Bulimia (1997) became an instant bestseller, translated into many languages, and remains a touchstone in conversations on eating disorders. She later published Madness: A Bipolar Life (2008), The Center of Winter (a novel), Waiting: A Nonbeliever’s Higher Power, and Sane.
Hornbacher has received honors including the Annie Dillard Award for Nonfiction, the Logan Fellowship, and the Fountain House Humanitarian Award. Her work appears in publications such as The New York Times and Smithsonian Magazine. She teaches writing, runs the Substack newsletter Going Solo at the End of the World, and is currently at work on a new book titled Solo (expected 2027).
Review: Readers describe Sane as inspiring, hopeful, and practical — different in tone from her earlier, more emotionally raw works but invaluable for those facing the intersection of addiction and mental illness.
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