The annual Tuerk conference, now in its 35th year, covers a wide range of topics including, the impact of COVID on the Maryland treatment system and communities of color, the effectiveness of AA, the use of telemedicine, the impact of generational trauma, research on the use of psychedelics in treatment, updates on the effectiveness of peer counselors, the resurgence of methamphetamines and other stimulants, underage drinking, and the impact of sports betting on problem gambling.