1. Injury, PAIN AND SUBSTANCE ABUSE Michael L. Fox, D.O.

2. What happens When it starts

3. How it all begins Genetics Dysfunction Exposure

4. The brain,genetics family,exposure What drugs? What happens?

5. The evolution of the disease Misuse Abuse Disease

6. Have you ever had a problem?”no” do you know what I mean by “problem” “Problems” – Doctor – Psychiatrist – Legal – Family – Self – Job – School “CAGE” – Screen – Diagnosis

7. Now that we know there is a problem,lets do this Detox Rehab

8. Things that roll together Co morbid disorders – Pain – Depression

9. America’s Prescription Drugs of Choice Love to get from the doctors – Opiates – Benzodiazepines

10. Elicit Drugs of Choice Opiates Stimulants Benzodiazepines Cannabis

11. America’s Drugs of Choice Alcohol Nicotine

12. Drugs I Hate Ultram Ativan Xanex Klonopin Ambien Sonata Lunesta Valium Soma Adderall Vyvanse Concerta Ritalin Librium Librax Vicodin OxyContin Opana Morphine Dilaudid Fioricet

13. The Problem with Docs Psychiatrists Pain Doctors Primary Care Physicians FACT: 5.6% of physicians prescribe 70% of pain pills

14. Drugs I Love Straterra Abilify Wellbutrin Catapres Suboxone Butrans Patch Pristiq Seroquel Cymbalta Depakote Neuronton Lyrica Elavil Pamelor Sinequan Effexor

15. Treatment of Pain Antidepressants Neuroleptics Buprenorphine – Suboxone NO BENZODIAZEPINES

16. Treatment of Depression NO BENZODIAZEPINES