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	<title>An Epidemic of Addiction</title>
	<link>http://blogs.psychcentral.com/epidemic-addiction</link>
	<description>A blog focusing on the psychology of addictive disorders, with an emphasis on addiction to opioids.</description>
	<lastBuildDate>Mon, 20 Feb 2012 19:06:47 +0000</lastBuildDate>
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		<title>Opioids and BPD</title>
		<description><![CDATA[I appreciate the feedback to my last post.  I had no doubt that the thoughts expressed in the original letter would ring such a chord, as I hear similar comments on a daily basis.  For people new to my blog this week, please review the letter in last week’s post, as that is where I’m [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2012/02/opioids-and-bpd/</link>
			</item>
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		<title>Buprenorphine for BPD?</title>
		<description><![CDATA[I would like to discuss a comment from a reader: I have been a recovering addict for 12 years. I was addicted primarily to Lortabs (active ingredient is hydrocodone) and Ultram. I was never an extreme user but I was consistently trying to modulate my feelings and feel better. I also have been battling BPD [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2012/02/buprenorphine-for-bpd/</link>
			</item>
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		<title>Should We Intervene?</title>
		<description><![CDATA[A recent question from a reader: Do you believe in intervention of someone who does not ask or desire (to be clean)? It is hard to predict human behavior; sometimes people rise to the occasion when all appears to be lost, and other times people who have everything going their way make surprisingly poor decisions.  [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2012/02/should-we-intervene/</link>
			</item>
	<item>
		<title>A World of Pain, Without Medications</title>
		<description><![CDATA[A reader sent a link to a recent NYT editorial about the lack of pain medications in some countries.  The writer of the editorial injured his leg while traveling in Africa, and was dismayed to find that opioid pain medications were in limited supply, with only enough for patients admitted to the hospital. The writer [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2012/01/a-world-of-pain-without-medications/</link>
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		<title>The PRN Pill-Mill Story</title>
		<description><![CDATA[Wow. I just read an email about a story that I was vaguely aware of&#8211; about a doctor in Kansas and his wife, who were together linked to scores of overdose deaths. But that is just the beginning. The doctor was supported, during his trial, by Siobhan Reynolds, founder of a nonprofit advocacy group called [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2012/01/the-prn-pill-mill-story/</link>
			</item>
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		<title>When to Stop Treatment? Why?</title>
		<description><![CDATA[Below is an e-mail that I changed just enough to hide the person’s identity.  Every week, I receive messages that describe similar situations. My husband has struggled GREATLY with substance abuse since in his 20&#8242;s; he is now in his mid-40&#8242;s. He is the kindest sweetest man and he is the BEST husband and father. [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2012/01/when-to-stop-treatment-why/</link>
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		<title>The Debate Continues</title>
		<description><![CDATA[I&#8217;ve described the ongoing debate over use of opioids for chronic pain, and shared information about a group of physicians who are attempting to reduce the damage caused by careless over-prescribing.  Their attempts have created some backlash, as described here. Feel free to comment in response &#8212; here or there, or both! http://seattletimes.nwsource.com/html/localnews/2012873602_drugs12m.html Pills photo [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2011/12/the-debate-continues/</link>
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		<title>More of a Painful Topic</title>
		<description><![CDATA[Thank you for your comments about my post about treating chronic pain with opioids.  I was in the middle of adding a response to one of the comments this morning, when I decided to elevate my response to a post of its own. Starting a new post might, I hope, keep the discussion going… and [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2011/12/a-painful-topic/</link>
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		<title>Relapse in an Era of Buprenorphine</title>
		<description><![CDATA[A recent experience with a patient helped me realize the dramatic difference in the treatment of opioid dependence, in an era of buprenorphine. I randomly drug-test for a wide range of substances.  I don’t test because of a lack of trust for patients;  I test because before the era of buprenorphine, insight—a more fundamental character [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2011/12/relapse-in-an-era-of-buprenorphine/</link>
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		<title>More About Inappropriate Opioid Prescribing</title>
		<description><![CDATA[I have asked for permission to repost an article from the web site of CBC Radio, and I&#8217;m waiting for their answer.  In the meantime, I&#8217;ll provide a link to the article, along with a teaser.  The article also refers to a podcast of a Town Hall event featuring Dr. Andrea Furlan, a pain specialist [...]]]></description>
		<link>http://blogs.psychcentral.com/epidemic-addiction/2011/12/more-about-inappropriate-opioid-prescribing/</link>
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