Re: Use of Family Therapy to Treat Issues of Chronic Pain and Addiction to Pain Medications

On Mar 20, 9:12 am, Alan <a...@xxxxxxxxxxxxxxxxxxxx> wrote:
On Mar 19, 10:53 am, "LoriB.o.B." <banjob...@xxxxxxxxxxx> wrote:



On Mar 18, 9:25 am, Alan <a...@xxxxxxxxxxxxxxxxxxxx> wrote:

I have recently completed a brief paper on the emerging evidence
supporting the use of Family Therapy in treating issues of chronic
pain and addiction to pain medication.

Please feel free to contact me for a copy of this paper via email

Alan

a...@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

*************************
I didn't see a "brief paper on emerging evidence". I saw a website
charging $30 per cd to listen to the ocean...something I recorded
myself sittin' by the ocean waves. I'd say that posting spam to a
pain group where "addiction to pain medication" is NOT the problem as
less than 1% (I may be off a bit on the %) may become addicted is
irratating, to say it nicely. The main problems we as pain patients
have are Finding compassionate Drs. to treat us fairly & having to
explain constantly the difference between addiction & dependence!!!
Granted relaxation & other things can help but most of us already do
all that & unless you have intractable pain 24/7 you don't have a
clue!
Kindly tho grumpy,
LoriBoB
************

Actually this is part of my on-going research in working with clients
and issues of chronic pain. I am not posting the article on the web
but will send it to anyone who asks for no charge.

I am looking to begin a group and offering family sessions in the
future working with other medical professional in the area. Most of
the referrals I work with have reached a point where the meds no
longer give relief from pain and they have developed a dependency to
opiates. While I do not have the nubmers on how many people get to the
point of becoming dependent and addicted to the meds, I am seeing an
increasing number which is disturbing!

Alan
a...@xxxxxxxxxxxxxxxxxxxx

**********************
Alan, 1st of all the "play sports better..." is being addressed to a
group of ppl who have already suffered greater losses than I think u
could even imagine....wheelchairs, walkers, crutches, inability to do
basic things like care for ourselves (cook, clean..including showering
can be excrutiating) so that alone could be considered a slap in the
face. 2nd: where are you "looking" to begin a group & offer family
sessions & of what kind? The $30 per cd we can find cheaper or make
ourselves?? 3rd...& THIS one Pisses Me Off to no end: it is natural
to develop a dependency to opiates..it's the nature of the med. YOU
say you're "seeing an increasing # which is disturbing!"???!!! What
IS MORE DISTURBING IS THE FACT THAT MOST PPL WHO ARE EVEN ABLE TO GET
OPIATES FOR INTRACTABLE SEVERE CHRONIC PAIN AREN'T FINDING THEM
WORKING BECAUSE THEY ARE GENERALLY UNDERDOSED!!! YOU ARE SEVERELY
UNEDUCATED IN THE DIFFERENCE BETWEEN DEPENDENCY, ADDICTION (WHICH
OCCURS IN LESS THAN 3%-tho it may be less so someone correct me if I'm
wrong please), & TOLERANCE TO MEDS. While I agree & use many other
methods to keep my pain level to a barely bearable point, I am unable
to get opioids due to THE RAMPANT OPIOIDPHOBIA RUN BY THE DEA WHO
SHOULD HAVE NO BUSINESS IN DECIDING OUR MEDICAL CARE!!! You have
apparently bought into the brainwashing system that meds are bad &
anyone who takes them shouldn't because they will become dependent
addicts. U need to educate yourself...try going to http://paynehertz.blogspot.com
and watch some of the videos which will teach you the difference &
more. Also, if u are truly serious about wanting to help ppl w/
chronic pain (of which I've lived w/for nearly 30yrs, generally w/o
any meds), read this short, clear & concise explanation of the
differences & see how easy it is for Drs. & other professionals & non
prof. to just call anyone taking pain meds an addict. I got this from
the most wonderful proactive group http://painreliefnetwork.org/forum/

Here it is:

Pain Terms


Pseudo-Addiction

Pseudo addiction is a term which has been used to describe patient
behaviors that may occur when pain is undertreated. Patients with
unrelieved pain may become focused on obtaining medications, may clock
watch, and may otherwise seem inappropriately drug seeking. Even such
behaviors as illicit drug use and deception can occur in the patient's
efforts to obtain relief. Pseudo addiction can be distinguished from
true addiction in that the behaviors resolve when the pain is
effectively treated.4 Misunderstanding of this phenomenon may lead the
clinician to inappropriately stigmatize the patient with the label
'addict'. In the setting of unrelieved pain, the request for increases
in drug dose requires careful assessment, renewed efforts to manage
pain, and avoidance of stigmatizing labels.5

Addiction

Addiction is a primary, chronic, neurobiological disease, with
genetic, psychosocial, and environmental factors influencing its
development and manifestations. It is characterized by behaviors that
include one or more of the following: impaired control over drug use,
compulsive use, continued use despite harm, and craving.4

Physical Dependence

Physical dependence is a state of adaptation that is manifested by a
drug class specific withdrawal syndrome that can be produced by abrupt
cessation, rapid dose reduction, decreasing blood levels of the drug,
and/or administration of an antagonist.4

Tolerance

Tolerance is a state of adaptation in which exposure to a drug induces
changes that result in a diminution of one or more of the drug's
effects over time.

Pseudo-Tolerance

Pseudo tolerance is the need to increase dosage that is not due to
tolerance, but due to other factors such as: disease progression, new
disease, increased physical activity, lack of compliance, change in
medication, drug interaction, addiction, and deviant behavior. When a
once-fixed opioid dose is no longer effective, the above conditions
should be reviewed to exclude pseudo tolerance"


Hope this helps! Sorry to come on so upset but I am a cranky chronic
pain person w/the flu & cellulitis (severe, dangerous, life-
threatening if untreated deep infection...have it in both feet where I
also have neuropathy & still possible RSD). Seriously tho, the more
you learn, the more you learn! ...author, me, I think!
Kindly but cranky,
LoriBoB
***********************
.

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