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

Brandi Mac, MSN, ACNP-BC

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.

  1. APR 29

    Bonus Episode: Navigating Addiction: A Mother-Daughter Journey (Brooke Interview)

    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

    15 min
  2. APR 26

    Navigating Long-term Recovery: A Mom's Journey

    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

    33 min
  3. APR 25

    Why I Don't Want a Seat at the Recovery Table

    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

    27 min
  4. FEB 20

    The Drug Supply Is Changing: Nitazines, Medetomidine, Meth & Why "Rock Bottom" Is Deadly

    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: Why the drug your loved one used last week may not be the same this week Why Narcan still matters, even with tranquilizers in the supply Why connection is not enabling 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

    43 min
  5. FEB 10

    Alcohol Is a Drug: How Big Alcohol Shaped Addiction Language, Policy, and Shame-Bonus Episode

    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

    24 min
  6. FEB 9

    Mom Loses Daughter to Cocaine Overdose, Not Fentanyl | Melissa Ledesma

    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.

    1h 7m
  7. 2025-11-20

    Radical Acceptance and My Daughter's Addiction

    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.

    36 min

Ratings & Reviews

4.8
out of 5
5 Ratings

About

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.

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