“No Matter What People go Through, There is a way out”: Desistance and Recovery Strategies from Problematic use of Methamphetamine in Aotearoa-New Zealand

This qualitative study employs a retrospective life-course approach to analyse desistance and recovery pathways from problematic use of methamphetamine. Utilizing a phenomenological and situational perspective, this research aims to provide an in-depth understanding of the lived experiences of individuals journeying through desistance and recovery processes. Analysis divides the 40 interviewees from Aotearoa-New Zealand into the self-managed changers who desisted through natural recovery, and the treatment-assisted changers who sought professional or self-help group assistance. Analysis reveals the transition from deciding to stop to non-use took one year on average, with a significant percentage not relapsing. Additionally, one-third found desistance not difficult or mildly difficult, while half found quitting moderately difficult. Key turning points—such as adverse events, familial responsibilities and supportive relationships—are mapped alongside motivating factors, like realization of the negative effects and desire for a conventional life. Initial desistance strategies—such as social avoidance, social support and self-therapy—are mapped alongside desistance maintenance strategies, like family responsibilities, self-care and supportive networks. This mapping demonstrates the complex interplay between internal motivations and external events. This analysis demonstrates the critical role of supportive social networks for successful desistance and sustaining long-term recovery efforts, but also underscores the importance of self-reliance and inner strength.