So people can get very committed.” El believes membership has been low because so few people realize there’s a 12-step program for nicotine addiction.

The main active ingredient of 12-step programs, which now exist for practically every type of addiction—from cocaine to overeating to gambling—seems to be the social support of group meetings.

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Pastor Eric Mayle is incorporating the teachings from 12-step programs that are traditionally used to help people battling addiction into his sermons during Lent.

First created in response to the opioid crisis, THRIVE now serves thousands of Long Islanders each year at every stage of ...