I recently received a call from a man who was interested in locating a gay drug rehab. He and his partner were planning a wedding and thought it would be a good idea to get clean and sober before going any further with their lives. After a few weeks in a gay drug rehab and, they agreed that the work they accomplished benefited them as a couple and as individuals. They felt ready to begin the next chapter in their lives.

I offer this example because it is so different from what I usually see. In my intervention work I have found—whether they are lesbian, gay, or straight—that very few people in a relationship with a drug addiction or alcohol addiction seek addiction treatment prior to getting married. Most continue with their drug addiction and alcoholism in denial and hoping things will get better. Needless to say, things rarely get better as the drug addiction or alcoholism becomes more progressive.