✦ LIBER ✦

Clinical considerations in the treatment of chronic pain with opiates

✍ Scribed by Bruce D. Naliboff; Stephen M. Wu; Quynh Pham

Publisher: John Wiley and Sons
Year: 2006
Tongue: English
Weight: 108 KB
Volume: 62
Category: Article
ISSN: 0021-9762
DOI: 10.1002/jclp.20319

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

This article considers assessment and treatment issues for mental health practitioners working with patients using opiate medications to treat chronic pain with a particular emphasis on their potential relationship to substance abuse. We review general opiate medications, including a discussion of medications with increased addiction potential. Practice guidance is offered regarding long‐term opiate treatment, including definitions of addiction, initial assessments, ongoing substance misuse monitoring, use of psychological assessment instruments, and managing medication misuse problems. Additionally, we examine the role of the mental health professional within this area and examine the incorporation of psychological interventions for patients using opiates. A case illustration includes several of these complicated issues of managing chronic pain with opiate medications. © 2006 Wiley Periodicals, Inc. J Clin Psychol: In Session 62: 1397–1408, 2006.

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