I am reading a medscape article called "Detecting and Dealing with Substance Abuse Disorders in Primary Care."
I think it's useful as a user of addictive drugs to understand warning signs, so yes I do read these things. I am not sure whether it's OK to post, however, although there are no ads.
So I'll give a little summary and link to anyone who PMs me. Medscape requires free registration.
Anyway, surprised to read that 20% of primary care patients are thought to have substance abuse problems, while only 5-9% of primary care visits involve substance abuse issues. People seldom admit substance abuse issues.
I liked a quote regarding physical dependence vs. addiction:
This form of dependence differs from addiction in that there is no loss of control over the intense drive to take the medication despite negative consequences. Therefore in this setting, tolerance and dependence can be viewed as normal adaptations to daily medication use rather than as evidence of substance abuse or addiction.
(personally, I have no intense drive to take any of my medications if there's a negative consequence).
Pseudoaddiction is another form of common drug-seeking behavior. A pattern of pseudoaddiction develops when a patient with inadequate pain control engages in addict-type behaviors, such as clock watching, frequent requests for higher analgesic doses, attempts to obtain drugs illegally, and an overall obsession with pain medications. In contrast to addicts, whose drug seeking continues regardless of the absence of pain, pseudoaddicts' drug-seeking behavior resolves as soon as their pain is adequately treated.
This makes total and complete sense to me, since addicts are fighting against the drive to take, and pseudoaddicts are fighting against pain.
Genetic factors account for 40-50% of the risk for substance abuse disorders. Some mental disorders increase risk. And chronic pain is listed as a risk factor for non-medical use.
Their diagnostic was aimed at the primary care, not pain management, sector, so was more aimed at finding out if people are using drugs than finding the "seekers. I liked that they had several warnings to not confuse real pain with drug seeking, however.
Hope you liked my essay. Do I get an A?
p.s. I can't get my quotes to work, and not comfy enough to sit here and figure out why. Sorry!