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    Health & Fitness

    Do What You Can Live With: Navigating Through Addiction and Recovery

    Do what you can live with: Navigating Through Addiction and Recovery is a podcast that shares the struggles of loving someone with substance use disorder, and explores harm reduction and the lived experiences of those in recovery.

    Hosted by Brandi Mac, a critical care nurse practitioner, and mother of an adult daughter with substance use disorder. Each episode provides raw and real lived experience and the struggles we face as loved ones of people who use drugs, the stigma surrounding addiction, harm reduction and the impact generational trauma has on each of us.

    Advertise

    Copyright: © 2023

    • Apple Podcasts
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    Latest Episodes:
    When Tough Love Almost Broke Us: A Father's Perspective on Addiction, Fear, and Marriage Nov 03, 2026
    Show notes

    Brandi Mac talks with her husband Mike about the family's seven-year experience supporting their daughter Brooke through fentanyl addiction, recovery, and a recent lapse. Mike reflects on changing his views from tough love and abstinence-only thinking toward harm reduction, medication for opioid use disorder, and staying connected without believing he can control Brooke's choices.

    Chapters

    00:00 Why Brandi invited Mike to share a father's perspective

    03:22 Mike's assumptions about addiction before it reached home

    07:12 The first response: fear, anger, and thinking rehab would fix it

    15:10 Nine rehabs and learning the limits of what parents can control

    22:28 How addiction strained their marriage and family responsibilities

    27:33 Why tough love and making life harder did not work

    35:00 Caregiving, resentment, and the hidden costs to the family

    41:40 Acceptance, social media, and finding a path back to connection

    47:08 Responding to a lapse without shame or explosive anger

    51:17 Why people in recovery need purpose and hope

    53:13 Shaving her head and inviting Brooke to Thanksgiving

    59:37 Changing the approach after repeated treatment setbacks

    01:02:31 Mike explains harm reduction through keeping a loved one alive

    01:08:06 How family healing changed the response to Brooke's recent lapse

    01:10:26 Mike's evolving support for medication for opioid use disorder

    01:15:47 Advice for fathers living with fear and uncertainty

    01:19:22 Different parenting approaches, boundaries, and partner communication

    01:24:14 What Mike would tell his younger self

    01:27:07 Mike's message to Brooke and advice for other dads

    Brandi Mac's Book: Do What You Can Live With: A Guide for Families Navigating Addiction, Grief and Impossible Choices is available on Amazon

    Email: brandi@brandimac.com


    Bonus Episode: Navigating Addiction: A Mother-Daughter Journey (Brooke Interview) Apr 29, 2026
    Show notes

    Summary

    In this episode of the Do What You Can Live With podcast, host Brandi Mac and her daughter Brooke discuss their journey through addiction and recovery. They explore the challenges of aftercare, the importance of support systems, and the personal struggles they faced during recovery. The conversation delves into family dynamics, healing, and the growth they have experienced together. They emphasize the need for accountability and the importance of looking inward to foster better relationships. The episode concludes with reflections on their journey and the hope for future conversations.

    Takeaways

    Brooke has been in recovery for over two years. The lack of aftercare support is a significant issue. Community support is essential for recovery. Personal struggles can complicate the recovery process. Family dynamics play a crucial role in healing. Healing takes time and effort from all parties involved. Accountability is important in recovery and relationships. Looking inward can help improve communication. It's possible to rebuild relationships after addiction. Gratitude for progress is essential in the recovery journey.

    Chapters

    00:00 Introduction and Recovery Journey 05:58 Personal Struggles and Relationships 12:06 Reflections on Growth and Accountability

    Contact Brandi: brandi@brandimac.com

    Social Media: the_original_brandi_mac

    Subscribe to Brandi's Substack: Prescribed Chaos

    Purchase Brandi's Book " Do What You Can Live With: A Survivial Guide for Navigating Addiction, Grief and Impossible Choices Here


    Navigating Long-term Recovery: A Mom's Journey Apr 26, 2026
    Show notes

    Summary

    In this episode, Brandi Mac discusses the complexities of long-term recovery from addiction, focusing on the challenges faced by families and loved ones. She shares her personal experiences and insights on the lack of resources, the impact of societal expectations, and the importance of support systems. Brandi emphasizes the need for comprehensive aftercare programs and critiques current rehabilitation practices, advocating for harm reduction as a viable approach to addiction treatment. The conversation highlights the struggles of young adults in recovery and the systemic issues that hinder progress, ultimately calling for a more compassionate and informed approach to addiction and recovery.

    Takeaways

    Long-term recovery is challenging and often lacks support. Families need to navigate their own feelings while supporting loved ones. 'Shit Life Syndrome' can hinder recovery progress. Barriers such as lack of resources and societal expectations impact recovery. Family dynamics play a crucial role in the recovery process. Comprehensive aftercare programs are essential for successful recovery. Young adults face unique challenges in the current economy. Support systems are vital for maintaining recovery. Current rehabilitation practices often fail to address real-life challenges. Harm reduction strategies can save lives and promote recovery.

    Chapters

    00:00 Introduction to Long-Term Recovery Challenges 06:08 Understanding 'Shit Life Syndrome' and Its Impact 11:58 The Role of Family Dynamics in Recovery 18:03 The Struggles of Young Adults in Recovery 24:00 Critique of Current Rehabilitation Practices 29:58 Government Policies and Their Impact on Recovery 35:53 Conclusion and Call to Action

    Sh*t Life Syndrome Video by HealthyGamerGG on YT: Here

    Email: brandi@brandimac.com

    Purchase "Do What You Can Live: A Survival Guide for Families Navigating Addiction, Grief and Impossible Choices" on Amazon

    Social Media: the_original_brandi_mac

    Website: Brandimac.com


    Why I Don't Want a Seat at the Recovery Table Apr 25, 2026
    Show notes

    In this episode of the Do What You Can Live With podcast, Brandi Mac shares her personal health struggles, the importance of real human connections, and her experiences in the recovery space. She discusses the ethical responsibilities of advocates, the challenges within the treatment industry, and her reluctance to charge families for help. Brandi emphasizes the need for genuine support and the complexities of navigating the advocacy landscape while remaining true to oneself.

    Takeaways

    • Brandi has been dealing with health issues
    • Burnout is a significant concern for those in advocacy work.
    • Real human connections are vital for mental health and support.
    • Brandi emphasizes the importance of protecting her mental health.
    • She has been cautious about connecting deeply with others in the recovery space.
    • The treatment industry often prioritizes profit over patient care.
    • Brandi is jaded about the rehab industry due to personal experiences.
    • She believes in the ethical responsibility of advocates to prioritize families.
    • Brandi struggles with the idea of charging families for help.
    • She aims to create a supportive community for those affected by addiction.

    Chapters

    00:00 Brandi's Health Journey and Burnout 05:54 Navigating the Recovery Space 12:01 The Ethical Responsibility in Advocacy 17:52 Challenges in the Treatment Industry 30:04 The Dilemma of Charging for Help 38:54 Final Thoughts and Moving Forward

    Website: brandimac.com

    Email:brandi@brandimac.com

    Do What You Can Live With Book is available on Amazon


    The Drug Supply Is Changing: Nitazines, Medetomidine, Meth & Why "Rock Bottom" Is Deadly Feb 20, 2026
    Show notes

    Overdoses are declining in the United States.

    That is worth celebrating.

    But what most families do not realize is this: the drug supply is changing fast. And in many ways, it is becoming more unpredictable and more dangerous.

    In this episode of Do What You Can Live With, Brandi Mac breaks down what is happening behind the headlines:

    • Why fentanyl purity is dropping and what that actually means • The rise of medetomidine and why Narcan does not reverse it • Nitazines, synthetic opioids that are far more potent than fentanyl • The methamphetamine surge and what makes today's supply different • Why prohibition history matters • What "safe supply" really means and why it is being debated • Why rock bottom in 2026 can mean death • How families can stay connected without shame

    Drawing from her experience as a critical care nurse practitioner and as a mother of a daughter in recovery, Brandi explains why old advice like "they have to hit bottom" is increasingly dangerous in today's unregulated drug market.

    This is not about politics.

    This is about survival.

    If you love someone in active addiction, this episode will help you understand:

    1. Why the drug your loved one used last week may not be the same this week

    2. Why Narcan still matters, even with tranquilizers in the supply

    3. Why connection is not enabling

    4. Why you have to decide what you can live with

    Addiction is not disappearing.

    The supply will keep shifting.

    The question is how you will show up.

    If this episode resonates, please follow, leave a review, and share it with someone who needs it. Families deserve information without shame.

    Follow Brandi on social media: the_original_brandi_mac

    Email: brandi@brandimac.com

    Website: http://www.brandimac.com

    Purchase Brandi's book "Do What You Can Live With: A Survival Guide for Families Navigating Addiction, Grief and Impossible Choices" on Amazon


    Alcohol Is a Drug: How Big Alcohol Shaped Addiction Language, Policy, and Shame-Bonus Episode Feb 10, 2026
    Show notes

    Alcohol is the most normalized drug in America and one of the deadliest.

    In this episode of the Do What You Can Live With Podcast, critical care nurse practitioner and author Brandi Mac exposes how the trillion-dollar alcohol industry shaped the language we use around addiction, influenced federal policy, and helped keep alcohol socially acceptable while millions of families quietly suffer.

    Alcohol kills an average of 178,000 Americans every year, more than all drug overdoses combined. Yet it remains legal, advertised, and culturally protected. That did not happen by accident.

    In this episode, Brandi breaks down how corporate lobbying influenced federal agencies like the Center for Substance Abuse Prevention, why alcohol was intentionally separated from the word "drug," and how terms like substance abuse were shaped by profit, not families, clinicians, or people in recovery.

    Backed by peer-reviewed research and decades of frontline ICU experience, this episode connects the dots between policy, stigma, and the invisible grief of loving someone with alcohol use disorder.

    In this episode, we cover:
    • Why alcohol is classified as a Group 1 carcinogen by the World Health Organization

    • How alcohol kills more people than fentanyl, heroin, meth, and cocaine combined

    • The role of corporate lobbying in changing federal addiction language

    • Why alcohol harm receives a fraction of the funding compared to other diseases

    • How the separation of "alcohol and drugs" shaped stigma and shame

    • Why families affected by alcoholism are often dismissed and minimized

    • What boundaries, love, and clarity look like when the system fails you

    Brandi also explores how lobbying dollars dwarfed public health funding, how Big alcohol companies profit off the sickest drinkers, and why harm reduction has worked for drug overdoses but remains taboo when applied to alcohol.

    This episode is for parents, partners, siblings, clinicians, and anyone who has been told "it's just alcohol" while watching someone they love disappear.

    Because your pain was not imagined. Your crisis was not invisible by accident. And you are not wrong for taking it seriously.

    📘 Learn more at brandimac.com 📖 Author of Do What You Can Live With


    Mom Loses Daughter to Cocaine Overdose, Not Fentanyl | Melissa Ledesma Feb 09, 2026
    Show notes

    What does "rock bottom" really mean when you love a child in active addiction?

    In this episode of the Do What You Can Live With podcast, I sit down with Melissa Ledesma, a mother who lost her daughter, Angel, to a cocaine overdose in 2023. Not fentanyl. Not opioids. Cocaine.

    Melissa shares the truth about grief that lingers years later, the shock of reading an autopsy report that did not match public assumptions, and what it actually looks like to love a child through addiction without abandoning them to shame or isolation.

    We talk about stimulant overdoses, harm reduction, sibling dynamics, trauma, and the painful myth that families must step away to force change. This is an honest conversation for parents, caregivers, and anyone carrying grief that does not move on a timeline.

    Content note: This episode discusses overdose, child loss, and grief.

    In this episode:

    • What "rock bottom" really looks like for families

    • Cocaine and stimulant overdoses without opioids

    • Why Narcan does not reverse stimulant overdoses

    • Harm reduction, MAT, and what Melissa wishes she knew sooner

    • Loving your child without losing yourself

    Resources & Links:

    • Melissa on TikTok: @the.real.melissa

    • Melissa on Facebook: Melissa Ledesma

    • Do What You Can Live With by Brandi Mac (Amazon)

    • Family resources and support: brandimac.com

    If this episode resonated, consider subscribing and leaving a review. It helps other families find conversations like this when they need them most.


    Steffy Bailey: Loving Her Son Through Addiction and Into Recovery Jan 08, 2026
    Show notes

    What does it actually take to love your child through active addiction without losing yourself? Steffy Bailey has been doing this work for a decade. At the time of this conversation, her son Nehemiah was approaching six months sober. This conversation goes past surface-level hope into what fractured marriages, strained sibling dynamics, protecting grandchildren, and breaking generational cycles really look like.

    In this episode: - Why "boundaries" are not abandonment, and how to set them anyway - The hidden cost of carrying family pain alone in your marriage - How addiction shapes the kids and grandkids nobody talks about - Holding hope without minimizing harm

    Guest: Steffy Bailey is a mom and content creator, and one of the most honest voices on social media about loving a child with substance use disorder. Find her on TikTok at @steffy_u_r_not_alone.

    Follow the show so you don't miss the next one. Leave a review if it hit. And if you know a parent who needs to feel less alone, send it to her.

    Brandi is the author of "Do What You Can Live With." More at brandimac.com.


    Radical Acceptance and My Daughter's Addiction Nov 20, 2025
    Show notes

    In this episode, I talk about the moment I finally let go of trying to control my daughter's addiction and what radical acceptance looked like in real life. I share how fear was running my parenting, how close I came to losing myself completely, and how surrendering shifted our entire relationship.

    I also share a story from yesterday that still feels unreal: taking my daughter — almost two years in recovery — and her children to the Magic Kingdom. Watching her run around with her son, sober and present, reminded me why letting go mattered more than forcing my plans onto her.

    If you are drowning right now, scared of losing your child, or feel like you can't survive another day of chaos, this episode is for you.

    What we talk about:
    • Parenting from fear vs clarity

    • The breaking point that forced me to surrender

    • What radical acceptance actually looks like

    • Why bringing up rehab every day made things worse

    • How I stopped reacting and started listening

    • Letting go of the fantasy timeline of recovery

    • Why self-abandonment is so common in parents

    • How I rebuilt trust with my daughter

    • A real exercise you can do tonight to start shifting your own patterns

    Resources mentioned:

    My book: Do What You Can Live With Amazon link: https://a.co/d/1pnyKll

    Free resources for families: brandimac.com

    Share your story or ask a question: Email: brandi@brandimac.com

    YouTube video of this episode: Here

    If this episode helped you:

    Please leave a rating or review. It helps other families find this support when they're searching in the darkest moments.


    Empowering Change Through Advocacy Nov 09, 2025
    Show notes

    Keywords

    recovery, addiction, advocacy, community, personal growth, storytelling, resilience, Kensington, self-care, support

    Summary

    In this episode, Brandi Mac shares personal updates about her family, including her daughter's recovery journey and her own struggles with work-life balance. She discusses her advocacy efforts, including a recent event called Rise for Recovery, where she engaged with other advocates and learned about impactful stories of resilience. Brandi reflects on her experiences in Kensington, a community facing significant challenges due to addiction, and emphasizes the importance of community support and outreach. She concludes with a call to action for listeners to contribute to their communities and support those in need.

    Takeaways

    Brandi's daughter is nearing two years in recovery. She is focusing more on advocacy and less on hospital work. The Rise for Recovery event was a transformative experience. Storytelling is a powerful tool in advocacy. Kensington is a community deeply affected by addiction. Brandi emphasizes the importance of self-care. Community outreach is crucial in addressing addiction. Brandi's book aims to support families dealing with addiction. It's okay to find joy amidst pain and struggle. Everyone can contribute to their community in meaningful ways.

    Chapters

    00:00 Welcome Back and Personal Updates 05:27 Advocacy and Community Engagement 11:32 Storytelling and Collaboration in Advocacy 16:36 Impactful Stories from the Summit 21:14 Kensington Experience and Observations 26:03 Navigating Advocacy and Community Challenges 31:41 Final Thoughts and Call to Action

    Brandi's Book "Do What You Can Live With: A Survival Guide for Families Navigating Addiction, Grief and Impossible Choices" HERE

    Please send emails that I can share. Send anything, but I really want to know whats the craziest thing you have done as loved one through their addiction?

    Email: brandi@brandimac.com


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