Archives for January, 2011

Feelings

Difficult Patients, Difficult Doctors, or Difficult Times?

Today I read interesting findings from a study in the Journal of General Internal Medicine, that examined the perceptions of doctors toward their patients.  The study, by Jeffrey Jackson of the Medical College of Wisconsin, classified 'difficult patients' according to what surveyed physicians considered as difficult, including patients who were hard to get along with, or those who did not get well as quickly as everyone would have liked.

When physicians were asked...
Continue Reading

Addiction

The Limits of Will Power, Part Three

I’ve been writing about will power for the past couple weeks in response to these comments from a reader:

Everyone’s will power varies. The simple fact is, the worse withdrawal is, the more likely that person is to not want to go through it again, meaning abstinence. The easier withdrawals are, the more likely those persons’ mindset will be “one more can’t hurt”. Pain builds you; it builds character, personality, and maturity.

In part one I...
Continue Reading

Addiction

The Limits of Will Power, Part Two

In my last post I shared a comment from a reader that included the following:

Not everyone needs permanent blocker therapy. Everyone’s will power varies. The simple fact is, the worse withdrawal is, the more likely that person is to not want to go through it again, meaning abstinence. The easier withdrawals are, the more likely those persons’ mindset will be “one more can’t hurt”. Pain builds you; it builds...
Continue Reading

Addiction

The Limits of Will Power: Part One

This is part one of a three-part discussion about will power; look for the rest of the story next week, after the Packers beat the Bears in the NFC Conference Championship.

A person posted the following comments after one of my articles about Suboxone:

While Dr. Junig knows what he's talking about, not everything he says is always true. Not everyone needs permanent blocker therapy. Everyone’s will power varies. The simple...
Continue Reading

Addiction

Eating Cake But Happy Too?

In response to my last post, a reader, Sunkissed, wrote about the many consequences of  active addiction, and noted that the consequences including spiritual impairment and the loss of self-esteem are as valid indicators of ‘addiction severity’ as are consequential effects on earning power—perhaps even more valid.

She wrote about the importance of replacing one’s relationship with a substance with a relationship with God, and asked ‘is there a case… for a positive 'harm...
Continue Reading

Addiction

Just a Little Addicted

I am going to promote a comment to this main section, as the material deserves a larger audience:

I've been taking Tramadol for 3 years now, 3 per day.  I've tried to taper down, I can't even handle that.  I don't know if I have a "problem" or if it's all in my head?  My doctor doesn't seem too I feel powerless to them, yet I don't even know...
Continue Reading

Addiction

Stages of Addiction

This is another section of my unpublished book, Clean Enough.  I describe stages in the process of addiction that I've noticed in opioid addicts presenting for treatment.  I must point out that these stages have not been validated by clinical research, but rather are drawn from simple observation.  Read on:

I am always impressed by how similar addiction progresses in one individual versus the next.  The next reader’s comments and my comments...
Continue Reading