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How Are Chronic Pain and Addiction Connected?

Jul 11, 2016
  • Medical Information
Dozens of prescription medicine bottles

Substances of Concern

Often, the process is subtle. Perhaps someone will take more of their pain medication once a month. Maybe they will drink a few more beers than usual during a weekend, or they find themselves indulging in more sweet treats.

Alone, none of these experiments is a significant problem, but people struggle to remain with moderation.

Substance Use: A Negative Coping Skill

Over time, substance use grows and develops. One more pill per month becomes two more pills per day. A few beers become many beers. A sweet treat becomes uncontrollable binges.

It rarely stays the same because it is linked to decreased ratings of pain. For these people, substance use becomes a negative coping skill.

Negative coping skills often disguise themselves as positive coping skills. Negative coping skills are behaviors that create drastic and immediate changes in your life. They will focus only on the short-term benefit of covering up or avoiding the pain, which creates problems because what’s easy in the short-term is rarely best in the long-term.

When people find a negative coping skill they prefer, its use tends to increase towards addiction and dependence, which always ends poorly.

If you become dependent on a substance like pain medication, your body will respond with increased pain and discomfort if the substance is not available at the desired level. At times, these withdrawal symptoms can lead to extreme discomfort and dangerous reactions.

Focus on the Positives

Fighting chronic pain must be done with positive coping skills. They provide fewer immediate results, but they will improve your life long-term. Positive coping skills for chronic pain include:

  • Following doctor’s orders
  • Consistently attending all appointments and showing honesty with your providers
  • Increasing exercise for chronic pain (within your abilities)
  • Spending more time with people you like, doing things you like
  • Trying mental health treatment
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If therapy is something you have never considered for your chronic pain, now might be the time. Since your pain is likely here to stay, changing your perceptions of the pain can do wonders to improve your life.

A therapist, especially one trained in cognitive behavioral therapy (CBT), can assist with this process. Additionally, they can help you find hope and optimism in the future by shifting your expectations.

Do not let your desperation for pain relief lure you to the false promises of substance use. This negative coping skill may seem to improve your status momentarily, but in actuality, it adds more problems than it solves.

Nothing worthwhile is easy, and treating your chronic pain is no exception. Take the challenging road of positive coping skills to results you can be proud of. The path to long-term success is the only path.

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Eric Patterson
Eric Patterson, LPC is a professional counselor in western Pennsylvania working for the last 10 years to help children, teens and adults achieve their goals and live happier lives. Read more about Eric and his writing at www.ericlpattersonwriting.com. See all of Eric's articles
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