Gina Zappia says she came from a family in which addictive behaviors were the norm, and she found it easy to follow suit. “I didn’t think of myself as an addict when I was using pills, even though I would get sick if I didn’t use,” she said. “I just thought I liked it, and it was a normal thing. … Then at about 23 years old, I made the switch to IV (for heroin). I normalized that decision as well because everyone I was hanging out with was doing it, so the switch was easy. But after that, things went downhill quickly.”