Dr. Claudia Black discusses how addiction in the family repeats itself generationally with the repetition of toxic stress, the accumulation of adverse childhood experiences, and the biological impact of trauma. Each time we focus on the addicted client without focusing on the family we are in denial that we are breaking the cycle of addiction. Given that minimally four people are negatively impacted by one person's active addiction how might the impact of addiction be reduced if we had 4 times the number of family members involved in prevention, treatment and recovery programs? If we take seriously that this is a family disease, a generational disease, then the time has come to address family members.