Therapeutic Opioid Addiction: When Chronic Pain and Addiction Collide

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CE Credit: 3

Length: 3 hours

Exam Items: 6

This workshop presents an overview of the challenge of chronic pain and co-occurring therapeutic opioid use disorders and the role of psychologists in identification and management. The workshop reviews empirical literature related to chronic pain and opioid use disorders, strategies to screen for opioid use disorders and guidelines for diagnostic evaluation of chronic pain patients undergoing chronic opioid therapy. Participants will have opportunities to practice identifying and conceptualizing signs of opioid use disorders within DSM diagnostic criteria. Finally, this workshop will include attention to best treatment practices within an interdisciplinary team model. Original webcast date: June 17, 2016.

Learning Objective 1

Describe current theory and research on chronic pain and co-occurring therapeutic opioid addiction.

Learning Objective 2
Discuss the role of psychologists in the identification and management of co-occurring chronic pain and therapeutic opioid addiction.

Learning Objective 3
Identify and describe signs of opioid misuse, abuse or dependence in a patient using chronic opioid therapy for the treatment of chronic non-cancer pain.

Presenter: Giries W. Sweis, PsyD

Sweis  Dr. Sweis is a clinical psychologist in the Section of Pain Medicine: Chronic Pain Rehabilitation Program at the Cleveland Clinic where he oversees the chemical education track, and holds a joint appointment in the Department of Psychiatry and Psychology. In addition, he holds an adjunct faculty position at Cleveland State University and is an assistant professor of medicine teaching at the Cleveland Clinic Lerner College of Medicine. He is an active member of several professional organizations and an ad hoc reviewer for Pain Medicine and Surgery for Obesity and Related Diseases.


Supplementary Materials

  • Therapeutic Opioid Addiction Slides
  • Definitions Related to the Medical Use of Opioids
  • Nonopioid Substance Use Disorders and Opioid Dose Predict Therapeutic Opioid Addiction
  • Opioid Use 12 Months Following Interdisciplinary Pain Rehabilitation with Weaning
  • Opioid Treatment Guidelines
  • 2009 Clinical Guidelines from the APS and AAPM
  • Sample Opioid Contract