MURFREESBORO, TENNESSEE - December 5, 2018: Shannon Seidzik's tattoo reads "Fight to live". Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 4, 2018: Shannon Hochman, 32, pets a miniature horse during equine therapy at JourneyPure at the River. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 5, 2018: The main entrance of JourneyPure at the River. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 4, 2018: Patients participate in a ropes course at JourneyPure at the River. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 4, 2018: A patient pets a barn cat during equine therapy at JourneyPure at the River. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 5, 2018: Heather Lawson poses for a portrait at JourneyPure at the River. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 3, 2018: Sam MacMaster, co-founder and Chief Clinical Officer of JourneyPure at the River. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 3, 2018: A puzzle on a table at JourneyPure at the River, a residential treatment addiction facility. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 4, 2018: Becki McLeod, 37; Doris Sylve, 28; Janette Murray, 26, and Shannon Siedzik, 26, prep dinner for their fellow housemates at one of the residences at JourneyPure at the River. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 5, 2018: One patient at JourneyPure at the River writes an inspirational quote on a whiteboard. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 4, 2018: Miranda Danielle Nichols, 25, holds her son Sawyer, 5 months. Ms. Nichols was a patient at JourneyPure at the River while pregnant. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 4, 2018: Decorations beside a patient's bed at JourneyPure at the River. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 5, 2018: Patients at JourneyPure at the River embrace after a group therapy session. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 4, 2018: Shannon Siedzik, 26, waits in the hallway to be dispensed her medication before bed. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 5, 2018: Patients hold hands during a group therapy session at JourneyPure at the River. Ilana Panich-Linsman for The New York Times
GALLATIN, TENNESSEE - December 5, 2018: Sarah Ivy Carson, 33, says keeping a daily cleaning schedule has given her something to keep her busy since leaving rehab. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 4, 2018: Shannon Siedzik, 26, said her opioid use began at age 23. Ilana Panich-Linsman for The New York Times
MURFREESBORO, TENNESSEE - December 4, 2018: Dr. Stephen Loyd, medical director at JourneyPure at the River. Ilana Panich-Linsman for The New York Times
GALLATIN, TENNESSEE - December 5, 2018: Sarah Ivy Carson, 33, was a patient at JourneyPure at the River. Ilana Panich-Linsman for The New York Times