After being awake for about twenty minutes, Zoe pulled me away from Zak and Ellie. She looked me straight in the eyes and quite somberly said, “I have thumb owie. I sucked my thumb at bedtime.” Sure enough the skin on her knuckle had broken. Her guilt and shame was so overwhelming. I assured her that it was okay, but she shouldn’t do it anymore. I told her that she had just fallen off the wagon, and it was time to get back on. She then proceeded to tell Zak, “I fell off wagon.”