From the years 2010 to 2019 467,000 Americans died from an overdose…The people of the Salish Sea were hit particularly hard due to the pharmaceutical industry's predatory practices. Substance abuse disorders have always been problematic in Native communities. What has been neglected in this reportage is the fact that people recover their lives by finding meaning and purpose, moving from hopelessness to community and connection. Transforming one’s life from a Native American point of view comes with spiritual practices that promote compassion, empathy, forgiveness, and a belief in something greater than themselves.