co-occurring disorder
1. Discuss your honest, gut-level reactions to the book. There is no right or wrong answer to this part. You will get points for discussing it.

2. How did Nic’s co-occurring disorder interact with his addiction?

3. Nic was talented and accomplished by his teens. Why do you think he felt worthless?

4. In what way(s) do you think Nic’s family life contributed to his addictions?

5. In what way did Nic’s family life support his recovery?

6. Identify the strengths in Nic’s family life. What “type” of family life does Nic have? (e.g. rigid, ambiguous, overextended, distorted)

7. What family role(s) does Nic play? (e.g. the hero, the scapegoat, the lost child, the mascot) Remember that children’s roles can change over time.

8. Based on your understanding of the characteristics of family members who experience trauma, describe the characteristics that Nic seems to have. What is the trauma that he has experienced?

9. What, in your opinion, finally helped Nic into recovery? What aspects of the last rehab program described in Tweak were therapeutic to Nic and his family?

10. Explain why it took several rehabilitation attempts for Nic to get clean and sober


co-occurring disorder