About this site

At the Margins is a publication about addiction, recovery, behavioral health, and the systems that shape all three — written from the rural edges of American practice where the gaps are widest and the work is most unforgiving.

It is written by and for the people who do this work, live this work, and are trying to make sense of a field that was built on community and has been slowly swallowed by institutions. That includes clinicians, supervisors, people in recovery, families, and anyone who has ever sat across from someone in crisis and felt the system working against them both.

The column At the Margins examines rural practice, underserved communities, and the structural forces that shape who gets care and who doesn't. The column The Wounded Healer is more personal — the reflective space where clinical identity, lived experience, and the cost of this work get named honestly.

This is not a neutral publication. Neutrality in the face of systems that harm people is its own kind of choice. We are here to make good trouble.

Subscribers get full access to everything published here — essays, columns, and occasional dispatches from the margins. Free subscribers receive selected pieces. Paid subscribers get everything.

— Gus Raymond, tLMHC, CADC, NCC