“But what you do deliberately is that you use cocaine.” “Because I’m addicted to it.” “That’s a choice you’re making,” I reply. Even as the words leave my lips, I know I’m mouthing a platitude. From a certain point of view, everything we do is a choice. From a scientific perspective, though, Claire is closer to the mark. Her explanation that she is addicted—and that therefore her drug use is not the result of thoughtful deliberation—fits with the research evidence. It sounds like a cop-out, but in neurological terms, it’s not.