Chronic Relapse and Secondary Gain
By secondary gain, I’m referring to a psychological or emotional advantage or benefit that occurs from an illness or behavioral disorder.
Category: Treatment
Addiction clinicians ROCK! It’s a complex field and evolving all the time. But some tried-and-true tools will never go out of date. Strategies, tips, and even a laugh or two.
Treatment
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Life Without Opioids
We shouldn’t ignore the emotional factors involved in chronic pain– such as anxiety and depression.
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Proposing a Plan
This is in part a course correction from the trend of several decades ago, when the emphasis was on cutting expenses in the naive belief all addicts could be successfully treated on an outpatient basis.
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Coercion in Massachusetts
I compare it to finding someone lying on the sidewalk, helping them up, brushing them off, and pushing them down again.
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Treatment and Coercion
Those of us who work in treatment quickly sense a problem: people with addictions aren’t likely to respond to this approach.
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Medical Cannabis in Addiction Treatment
The field is getting accustomed to patients arriving in addiction treatment complaining of problems with prescription opioids, stimulants, sedatives, etc, while actively enrolled in medical cannabis programs.
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Why No Opioid Taper?
Not everybody wants to remain dependent on pain medication. But at present, we offer few if any alternatives to doing it on your own.
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Pain Psychology
Perhaps more important, the patient could begin to resume a normal life.
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Conflict of Interest Case Study
Obviously, being able to give your own business a five star rating on a supposedly independent consumer website could be construed as an unfair advantage.
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Tossing the Playbook
We’ve come a long way in treating addictions, but we’re still not very successful at convincing a patient to stick to a treatment regimen.
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“Invisible” Hand? Or “Absent” Hand?
In their eagerness to reduce the size of government, states have stripped away staff who would otherwise make onsite visits to ensure compliance.
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In the News: Opioid Addiction and the Private Sector
Portman argues that since business and industry will directly benefit, they should take an active or even a leadership role in this effort.
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More on Medicaid Requirements
When they get sick with diseases related to substance use, they’ll avoid going to the doctor or hospital, until their illness is advanced and more extensive and expensive care is involved.
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