Matt is a history teacher. his twin brother, greg, is a drug addict. (Their names have been changed to protect their anonymity.) Growing up in the Boston area, both boys did well in high school: they were strong students in the classroom and decent athletes on the field, and they got along with their peers. Like many young people, the brothers snuck the occasional beer or cigarette and experimented with marijuana. Then, in college, they tried cocaine. For Greg, the experience derailed his life.