Some people (DOJ, DEA, Fed prosecutors, politicians, media, and others)  believe and state that opioids are VERY ADDICTING. Many things in our day-to-day life can be dangerous or even kill us. Vehicles are/can be very safe – yet some 42K people die in vehicle accidents every year. Some 100K people die from using many alcohol products, the death rate from people using tobacco products is in the 400 range, and some claim that both of those products are addictive. Gasoline, Kerosene, and Propane are safe, as long as they are used properly, and a simple spark or some ignition source can turn an otherwise safe product into a potentially dangerous or catastrophic outcome.

Below is what perplexity.ai suggests are preexisting ( undiagnosed ) health issues in a person, and when they interact with some substance (opioid, alcohol, cocaine, etc), they – LIKE THE WAY IT MAKES THEM FEEL  – and they start down the road to some degree of addiction.

Basically, people who are labeled as dealing with SUD or OUD have some degree of undiagnosed or under/untreated mental health issues that collectively is a form of addictive personality.

So here we are, 55 yrs after our bigoted, racist President Nixon got Congress to pass a bill that was basically directed at putting hippies and black people in jail. We are still chasing down addicts, because President Nixon, by education, was an ATTORNEY, and we still have attorneys interfering with the practice of medicine, but they have expanded their scope that they are raiding practitioners’ offices and throwing thousands of people who have a valid/legit medical needs to be prescribed a controlled med. Not to mention that they are ruining thousands of practitioners’ lives and discouraging other practitioners from properly treating millions of pts who have a valid need to take a controlled substance.

Besides violating this federal law that has been on the books since 1935 – 35 yrs before the CSA was signed into law.

42 USC 1395: Prohibition against any Federal interference

https://uscode.house.gov/view.xhtml?req=(title:42%20section:1395%20edition:prelim)

Here is something interesting: What comorbidity issues are generally involved with addiction? I suggest this as well: DOJ Considers Opioid Use Disorder an ADA Covered Disability and Pursues Claims Against a Provider for Refusing Medical Services to Opioid Users    https://www.pharmaciststeve.com/doj-considers-opioid-use-disorder-an-ada-covered-disability-and-pursues-claims-against-a-provider-for-refusing-medical-services-to-opioid-users/

Comorbidities associated with addiction, also known as substance use disorders (SUDs), are common and can significantly complicate treatment and recovery. These comorbidities span mental health disorders, medical conditions, and behavioral issues. Below is an overview of the most prevalent comorbidities:

### *Mental Health Disorders*
1. *Depression and Anxiety Disorders*: These are among the most frequent comorbid conditions. Many individuals use substances to self-medicate, which can create a vicious cycle of dependency[1][2].
2. *Bipolar Disorder*: Substance abuse often exacerbates mood instability in individuals with bipolar disorder[1][3].
3. *Post-Traumatic Stress Disorder (PTSD)*: Trauma survivors may turn to substances to cope with distressing memories and emotions[1][2].
4. *Personality Disorders*:
– *Borderline Personality Disorder (BPD)*: Impulsivity and emotional dysregulation in BPD increase vulnerability to substance use.
– *Antisocial Personality Disorder (ASPD)*: Individuals with ASPD are more likely to engage in substance abuse due to impulsivity and disregard for societal norms[1][3].
5. *Psychotic Disorders*: Schizophrenia frequently co-occurs with SUDs, complicating treatment adherence and symptom management[1][3].

### *Medical Conditions*
1. *Infectious Diseases*: Injection drug use is linked to a higher risk of HIV/AIDS and hepatitis.
2. *Cardiovascular Issues*: Stimulant use can lead to hypertension, arrhythmias, and heart attacks.
3. *Liver and Gastrointestinal Problems*: Chronic alcohol or drug use can cause liver damage and gastrointestinal disorders.
4. *Diabetes and Cancer*: Addiction may exacerbate these systemic conditions by hindering proper management[4][6].

### *Behavioral Disorders*
1. *Eating Disorders*: Conditions like anorexia, bulimia, and binge eating disorder often co-occur with SUDs due to shared risk factors such as low self-esteem[1][3].
2. *Gambling Disorder*: Both behaviors share underlying vulnerabilities in brain reward systems[1].

### *Challenges in Diagnosis and Treatment*
Diagnosing comorbidities is challenging due to overlapping symptoms, stigma, and limited integration between mental health and addiction treatment services. Untreated comorbidities often worsen outcomes by increasing relapse risks and reducing treatment effectiveness[2][6].

### *Integrated Care Approach*
Effective management requires a multidisciplinary approach that simultaneously addresses addiction and comorbid conditions through personalized treatment plans. This includes pharmacological interventions, psychotherapy, and social support systems tailored to individual needs[1][2].

Addressing these comorbidities holistically improves recovery outcomes and enhances quality of life for individuals struggling with addiction.

Citations:
[1] https://www.serenityspringsrecovery.com/blog/common-comorbidities-with-substance-use-disorders/
[2] https://www.euda.europa.eu/spotlights/comorbid-substance-use-and-mental-health-problems_en
[3] https://www.unodc.org/documents/drug-prevention-and-treatment/UNODC_Comorbidities_in_drug_use_disorders.pdf
[4] https://footprintstorecovery.com/comorbid-medical-conditions-addiction/
[5] https://www.youtube.com/watch?v=5RbEotf0jqI
[6] https://thephoenixrc.com/blog/addiction-recovery/handling-comorbidities-with-substance-use-disorder/
[7] https://www.ncbi.nlm.nih.gov/books/NBK571451/
[8] https://nida.nih.gov/research-topics/co-occurring-disorders-health-conditions
[9] https://altacenters.com/addiction-resources/comorbidity/
[10] https://www.helpguide.org/mental-health/addiction/substance-abuse-and-mental-health

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Answer from Perplexity: pplx.ai/share

Filed under: General Problems