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A diplomate of the American Board of Psychiatry and Neurology A member of the American Board of a Medical Specialties President and Founder of The Center for a Healthy Mind and Wellbeing Healthymindmd.com Medical Director of Beaches Recovery Beachesrecovery.com • Less expensive • $30 for one Oxycodone • Easy accesability • Drug Cartels Deaths are just the tip of the iceberg emergency department visits SAMHSA NSDUH, DAWN, TEDS data sets Coalition Against Insurance Fraud. Prescription for Peril. http://www.insurancefraud.org/downloads/drugDiversion.pdf 2007. 27 Poppy plant • Enable us to achieve a goal (short term).23,24 • Decrease pain (minimal effect). • Increase motivation. • Increase confidence. • Increase reward. Dopamine. • Reduce depression and anxiety. • Increase pleasure in current activity. • Increase “warmth-liking”.25 • Liking warm things. • Love. • Interpersonal bonding. • Enable us to achieve a goal (short term).23,24 • Decrease pain (minimal effect). • Increase motivation. • Increase confidence. • Increase reward. Dopamine. • Reduce depression and anxiety. • Increase pleasure in current activity. • Increase “warmth-liking”.25 • Liking warm things. • Love. • Interpersonal bonding. j References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Centers for Disease Control and Prevention. Increases in Drug and Opioid Overdose Deaths — United States, 2000–2014. MMWR 2015; 64;1-5. CDC. Wide-ranging online data for epidemiologic research (WONDER). Atlanta, GA: CDC, National Center for Health Statistics; 2016. Available at http://wonder.cdc.gov. Centers for Disease Control and Prevention. Increases in Drug and Opioid Overdose Deaths — United States, 2000–2014. MMWR 2015; 64;1-5. CDC. Wide-ranging online data for epidemiologic research (WONDER). Atlanta, GA: CDC, National Center for Health Statistics; 2016. Available at http://wonder.cdc.gov. Chang H, Daubresse M, Kruszewski S, et al. Prevalence and treatment of pain in emergency departments in the United States, 2000 – 2010. Amer J of Emergency Med 2014; 32(5): 421-31. CDC. Wide-ranging online data for epidemiologic research (WONDER). Atlanta, GA: CDC, National Center for Health Statistics; 2016. Available at http://wonder.cdc.gov Centers for Disease Control and Prevention. Demographic and Substance Use Trends Among Heroin Users — United States, 2002–2013. MMWR 2015; 64(26):719-725 Jones CM. Heroin use and heroin use risk behaviors among nonmedical users of prescription opioid pain relievers — United States, 2002–2004 and 2008–2010. Drug Alcohol Depend 2013;132:95-100. US Department of Justice Drug Enforcement Administration. National Drug Threat Assessment Summary. DEA-DCT-DIR-002-15 2014. ASAM, “Essentials to Addiction Medicine” Second Edtion, “Opioids”, Questions Please email me: [email protected]