Here is a link that I spent an hour discussing with my primary care physician last month. I have posted in this blog before about self-advocating, creating relationships with your physician and taking steps to help you and your doctor to feel comfortable, open, and honest in obtaining prescription medication help. This is only a “guideline”, however it is and will have new effects on our treatment. Please read, please be partners with your doctor(s), and if you believe you may be abusing your pain treatment, seek help.
As a MSW, I understand the addiction process. There are many factors that need to be taken into account by you and your doctor. Genetics, social factors, and current mental health state. Please be forthcoming with any issues. CBT is the “new” therapy described as being able to address all issues, I believe this can be misleading. There are new studies out that CBT can actually be a short-term fix. If you need therapy, find what works best for you, but, find it. Many peers can find relief in other medications and in lifestyle changes. Others, need a balance. Still others don’t tolerate the SSRI’s or SNRI’s. Remember that when first diagnosed we go through the stages of grief. I believe this is the most important point at which we need assistance from a professional or group to get to the other side and live well with chronic pain.
Be safe, be as healthy as you can, allow yourself to get help. XXX