Treating patients with co-occurring chronic, non-cancer pain, and opioid use disorder can be difficult. Adding PTSD to this clinical picture can be even more challenging. The prevalence of chronic pain is higher in patients with PTSD than those without with one VA study showing co-occurring chronic pain in 66% of patients suffering from PTSD (Shipherd et al 2007). It is no surprise since patients with PTSD have more risk factors for pain including higher rates of other psychiatric conditions, medical conditions, and substance use disorders. Further, patients with PTSD report greater pain severity, greater pain related impairment, are more likely to be prescribed opioid medications for chronic pain, and are more likely to have opioid use disorders than patients without PTSD. Patients with PTSD also report higher levels of maladaptive coping and beliefs about pain than those with chronic pain alone. In the following case based webinar, we will discuss the challenges in treating this population while describing approaches which may help providers improve the care of these patients.
Funding for this initiative was made possible (in part) by grant nos. 5U79TI026556-02 and 3U79TI026556-02S1 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
- General Member - Free
- Resident-Fellow Member - Free
- Medical Student Member - Free
- Non-Member - Free
- Recognize the clinical complexity and overlapping symptoms for patients experiencing co-occurring disorders of chronic pain, opioid use disorder, and PTSD including how to assess these conditions and set expectations for care.
- Describe evidence-based approaches to the treatment of co-occurring PTSD, chronic pain, and opioid use disorders
- Discuss strategies for supervision of trainees working with patients experiencing co-occurring PTSD, chronic pain, and opioid use disorders
Physicians and other clinicians with interests in safe and effective use of opioid medications for the treatment of chronic pain and the interface of pain and opioid use disorder.
Estimated Time to Complete
Estimated Duration: 1 hour
Begin Date: August 22, 2017
End Date: August 22, 2020
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple-choice quiz is provided based on the content. A passing score of 70% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this enduring CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
- Jonathan Buchholz, M.D., Medical Director of Inpatient Psychiatry, VA Puget Sound. Reports no financial relationships with commercial interests.
- John A. Renner, Jr., M.D., Boston University School of Medicine, Director, Addiction Psychiatry Residency Training, Boston University Medical Center and VA Boston Healthcare System. Disclosure: Stock/other financial options: Johnson & Johnson and General Electric.
- Roke Iko, Program Manager, Sub-Specialty Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
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