Evidence-Based ≠ Transformation
We throw around the term ‘evidence-based’ like it’s sacred. But most of what counts as ‘evidence’ in addiction and mental health care measures only one thing – performance. 📉 A 2022 review published in Psychiatric Services found that many ‘evidence-based’ therapies are evaluated on short-term symptom reduction – often measured within 8-12 weeks – with no data on long-term change, relational health, or quality of life. ✔️ Did they show up? ✔️ Did they complete the program? ✔️ Are they abstinent? ✔️ Did the symptoms reduce? But What about: – Are they free? – Are they connected? – Do they feel alive? – Has anything actually changed inside? You can’t track that on a spreadsheet 📊 Thomas Insel, former director of the National Institute of Mental Health, put it bluntly: “We spent $20 billion on research, and we forgot the people.” If a client becomes more compliant, fills out fewer symptom checklists, but still can’t feel safe in their body – is that healing? Stephen Porges, creator of Polyvagal Theory, states: “The ability to feel safe is the core of mental health.” Yet safety – especially in the body – is almost never what we measure. What passes for ‘evidence’ is often just data about compliance – not transformation. And when we measure success by symptom reduction or program retention, we risk building systems that look good on paper – but leave people quietly suffering inside. True healing isn’t a metric. It’s a felt sense. That’s why at Infinite Recovery, we ask a different set of questions: – Is the nervous system more regulated? – Has there been a shift in identity – not just behaviour? – Can the person feel their emotions without escaping? – Is their life beginning to reflect their aliveness? We’re not anti-science… We’re pro wisdom! Because there’s a world of difference between managing symptoms and actually healing. If you want to see this modelled, look out for Wednesdays post. 👉 Curious to hear from you: What have you seen labelled ‘evidence-based’ that didn’t actually change anything? P.S Are you joining our upcoming webinar series? Addiction as an Adaptive Intelligence, comment below for info. https://learning.infiniterecoveryproject.com/webinar Get the book: https://www.amazon.com/dp/1068323302









