DrugBuyers.Com: Dependance is NOT addiction

I have seen a lot of post lately like is this too much I having W/D symptoms I must have a problem

Everyone MUST remember that a physical dependance is not the same as addiction

Abuse:
A pattern of pathological use in the inability to reduce or control intake.
Pseudo addiction
PAIN TOPICS
What is Pseudoaddiction?
Thomas E. Quinn, MSN, RN, AOCN
This article first appeared in Pain Relief Connection Vol 2 #1, January 2004. Pain Topics and Pain Relief Connection are services of MGH Cares About Pain Relief, http://www.massgeneral.org/painrelief
Pseudoaddiction is the term for an iatrogenic syndrome that appears to mimic behaviors that are commonly believed to be associated with addiction. It may present in a patient with or without a history of or risk factors for drug abuse or true addiction. It usually occurs with acute pain, including acute pain that is overlaid on a chronic pain condition. It is characterized by a climate of distrust and conflict between the patient and the care team related to the use of opioids for pain. Its etiology is pain that is inadequately treated, leading to patient demands for opioid analgesia that are interpreted by the care team as being excessive. The result is a progressive cycle of patient complaints of inadequate pain relief, sometimes accompanied by exaggerated pain behaviors, and care team resistance to providing opioids, sometimes compounded by avoidance and isolation of the patient.
In published case reports of pseudoaddiction, the patients report of pain is not believed, despite the presence of a progressive disease or painful condition, or the potential for tolerance due to prior opioid use is not taken into consideration by the care team. Inadequate analgesia is therefore inevitable due to either a dose that is too low or a dosing interval that is too long. There is a tendency in such cases to provide even less analgesia, further exacerbating the problem. In the case of Pseudoaddiction, drug seeking behavior is incorrectly interpreted as evidence of addiction; it is more accurate it see it as relief seeking behavior.
The treatment for pseudoaddiction is to redesign the analgesic regimen so that analgesics are provided at an appropriate dose and dosing interval. Ongoing and thorough pain assessment with corresponding adjustment of dose (i.e., titrating to effect), as with any patient, is essential. Frank discussion with the patient about the goals of pain treatment and the care teams concerns are key to re-establishing a therapeutic relationship between the patient and the care team. As David Weissman puts it, pseudoaddiction is something that we do to patients through our fears and misunderstanding of pain, pain treatment, and addiction. . . Any time there is a suggestion, because of escalating pain behaviors, that a patient on opioids may be addicted, pseudoaddiction should be ruled out.*
To learn more about pseudoaddiction, see (cited articles are available in Treadwell
pseudoaddiction
Dependance is when your body is use to a given chemical. ith then reacts to the loss of the chemical by expression of all the symptoms we are familure with.

I belive most of us are seen by MDs as "seekers' but they do not look at the possiblity of psudoaddiction. this would point a finger at the MD. If the MDs would look at the whole picture we might be better treated

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Ask and it will be given to you Matthew 7:7