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If you asked this question of an individual with opioid use disorder who had experienced the death of his or her significant other as a result of Covid-19, and that individual is now left alone, or left to care for their small children, the motivation to change may be very different than if the individual was not personally touched by the pandemic, 'Rock bottom' has layers. Each event that penetrates the individual's denial has the potential to help them consider change and can be viewed as a bottom.