Up From the Bottom: Finding Meaning, Connection, and a Life in Recovery by J. Andrew McCullough, Ph.D., LPC, begins with a simple act: listening. J. Andrew McCullough asked people in sustained recovery to describe, in their own words, how they got sober and what they do to stay that way. This book is built from those voices. Twenty-four adults in sustained recovery, ranging from one year to forty-five years sober, Black, white, and Native American, Christian, Muslim, secular, and philosophical, speak here with a clarity and honesty that clinical language cannot produce and statistics cannot capture. What they describe, across all their differences, is a pattern so consistent it could not be coincidence. Lasting recovery, they say, moves in two directions at once: inward and outward, self and community. What McCullough calls the ME/WE of recovery. The ME is the inner work: the rebuilding of identity, the practice of honest self-examination, the moment when the self that addiction had diminished begins to become someone new. The WE is community, accountability, connection. The experience of being genuinely known and remaining accepted, the discovery that helping someone else gave their own suffering a meaning it had never had before. Behind every statistic in this epidemic is a person who needed more than a diagnosis and a treatment plan. Jung named their hunger. Frankl named their need for meaning. Durkheim named their need for each other. The people in this book lived it and found their way through. It was written for clinicians, individuals in recovery, and every family that has ever loved someone who couldn't yet find their way back.