Very insightful and very true. When I started attending "Celebrate Recovery" the first thing I learned was, when you feel bad, you act bad. I was hurting, alone, confused, etc and the coke and alcohol were my comfort. Like the women you described, I tended to do these things alone. I'd go to the bar alone, I'd go to the bathroom alone. And I preferred it that way. I thought I was a functional addict, looking back now I realize what a hot mess I truly was. After ODing and ending up alone in a hospital, I knew I needed help but didn't know how to ask for it. The stigma is real. I was too afraid and too ashamed to let my family know. It's really unfortunate. Lucky for me, this path of destruction only lasted about 2 years. While others (like Lindsay Lohan) continue to struggle with it after years of rehab stints.