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Some further observations on the role of opioids, including advice to the primary clinician as they approach the prescribing decision.
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A discussion of the research breakthroughs that have occurred in the understanding of centralized pain, and an outline of approaches to pain management.
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Dr. Argoff comments on the appropriate role of opioid analgesics as part of therapy for chronic noncancer pain, with observations on protecting legitimate access while preventing abuse.
| Article
Therapeutic neuroscience education is helping patients to understand chronic pain from a neurophysiology perspective. It teaches patients very basic things about the physiology of our nervous system, how the brain gets involved in producing pain, and helps people to understand exactly what changes...
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A discussion of the impact of mood and anxiety disorders on recovery from pain conditions. Dr. Datz describes the neurochemical changes that occur, the effect of sex difference, and outlines some options for treatment.
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One of the challenges with pain is we just don’t have enough clinicians who are trained, relative to the number of patients needing care. So initially we thought of the group as a way that we can make better use of our scarce resources. But what we found is that the groups took on a life of their...
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A consideration of the relationship between pain, depression and suicide ideation, with practitioner insights into mitigating the risk of suicide in patients with chronic pain conditions.
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In this 2-part segment, Dr. Passik discusses some of the lessons learned during and following the Decade of Pain Control and Research, and implications for the appropriate engagement of opioid therapy in chronic noncancer pain management.
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The Iceberg Cometh
Dr. Passik is Director, Clinical Addiction Research and Education, Millenium Laboratories Clinical Education, San Diego, California. He has over 25 years’ experience in clinical practice as a pain psychologist specializing in addiction medicine. He is also a longtime member of...
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A prominent psychiatrist and pain educator discusses the challenge of managing patients with chronic pain who also suffer with borderline personality disorder and depression, including the special difficulties associated with demanding, noncompliant, and high-utilizer patients.
Dr. Clark is Vice...