When you hear about someone having an addiction, what’s the first thing that comes to mind? Smoking? Alcohol? Sex? Drugs? It’s true that more and more people are becoming addicted to alcohol and drugs, especially opioids. But while we might know what an addiction is, have you ever heard about pseudo-addiction?
What is pseudo-addiction?
Before we set out what pseudo-addiction is, let’s be clear about what real addiction is, as this term can mean a lot of things to a lot of people. Addiction “is a primary, chronic, neurobiological disease, with genetic, psychosocial and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm and craving”.
In contrast, pseudo-addiction is quite a new concept developed by pain specialists in the 1990s to describe desperate drug-seeking that is caused not by true drug addiction, but by the undertreatment of pain. In other words, the conduct of patients showing pseudo-addiction imitates the behaviour of an addicted person. A person with unrelieved pain, i.e., one who is undertreated, might present physical signs and symptoms which may seem like drug-seeking behavior or physical withdrawal. They may try to increase their dose illegally by getting the drugs without approval or turn to street drugs. They also might complain, act aggressively and even lie to get another prescription. The fact is pseudo-addiction looks a lot like addiction – but it is not. When pain is properly controlled and effectively treated, these drug-seeking behaviors stop, hence confirming pseudoaddiction rather than true addiction.
What is the difference between addiction and pseudo-addiction?
When talking about addiction and pseudo-addcition, we should consider what an important role pain plays in this case. If you have ever experienced pain which made your life miserable, then you know the desire for pain relief. If you are still struggling with it, you need to get professional help to treat the underlying source of pain, which you can find at our pain clinic in Brooksville.
The reason why we need to distinguish pain patients from addicts in our pain clinic in Brooksville is the fact that both may be dependent on opioids; however, addicts show abnormal drug-seeking behavior, plus an obsession with drugs. Legitimate pain patients who behave like addicts strive to get more drugs when their supply is inadequate to treat their pain. Once their supply is sufficient, the bad behavior ceases.
What are the most noticeable differences between addiction and pseudo-addiction? The main factor which separates addiction from pseudo-addiction is the reason for the drug-seeking. An individual with signs of pseudo-addiction hunts for more pain medication for self-care. An addicted person, meanwhile, cannot control his or her need for the drug and is destroyed by chasing the feel-good effect of the drugs. To put it another way, when a real addict gets a hit, the chase continues; when a pseudo-addict feels no pain, they stop chasing pain relief.
What are the signs and symptoms of addiction and pseudo-addiction?
We must be aware of dangers of both addiction and pseudo-addiction. The more we know about these terms, the more we can understand those who are struggling with addiction. But remember, knowledge is not enough to help addicts recover; our Detox Clinic in Brooksville is for that. What does our clinic look for as signs and symptoms of addiction?
- Substance dependence: No matter what sort of addiction it is – nicotine, alcohol or drugs – you are out of control and not able to stop taking the substance, even if it is causing harm to your body. The strong desire to continue taking it is very difficult to stop and quit without help.
- Withdrawal symptoms: These symptoms are easy to notice as an addict is not able to hide them. When the effects of the substance wear off, then patient has physical and mood-related symptoms such as frustration, anger, bad temper, poor concentration, feeling of depression and emptiness, and mood swings. It may be accompanied by insomnia or an increased appetite; for some substances, withdrawal also includes trembling, seizures, hallucinations and sweating, and possibly violence.
- Isolation: There are two types of isolation we look for. The first one relates to the sacrifice of one’s social life or recreational activities because of an addiction to something. The other is whether the substance is being consumed alone and in secret.
- Taking risks: Risk-taking behavior increases dramatically when it comes to drug-seeking, in particular by stealing or trading sex for money/drugs. In other situations, risk-taking behavior manifests as driving or working under the influence, which can lead to problems with the justice system.
- Obsession: This is defined as spending excessive time and energy coming up with ways to obtain a substance and use it.
- Denial: Most addicts refuse to acknowledge that they have an issue or they are not aware of it.
- Financial difficulties: People who are addicted do not care about the cost of the next fix, even if it is expensive and could cost them their house, their car, or other belongings.
- Relationship problems: In connection to many of the signs above, addicts also often have trouble in their relationships as a result of either the denial of the addiction or their embrace of it.
The interesting thing about signs and symptoms of pseudo-addiction is they might resemble the features of addiction. They include:
- Mood swings
- Panic or fear
- Frustration or anger
- Low energy or fatigue
- Trouble sleeping
A person with pseudo-addiction may start to experience increased physical, mental, and emotional side effects as the result of mismanaged pain. As a next step, they are asking for increased dosages of drugs, requesting a different or stronger pain medication, worrying about refilling their prescription on time, and becoming consumed by thoughts of the next dose, the medication or its effect. What matters for these individuals is to make sure they always have enough medication, even if they don’t expect to need it.
We have to agree that these signs of pseudo-addiction are easily mistaken by the outside observer as addiction. Our specialists in addictions and detox in Brooksville and Spring Hill not only diagnose your problem properly, but get to the root cause, explore your medical history, and select the best methods to cure it.
If you need help contact our professional, experienced staff
In our detox clinic in Brooksville, you will find the best medical specialists in the area of addiction. Dr. Eyad Alsabbagh, an Interventional Pain Management Physician, is experienced in the field of pain management and addiction, so he knows exactly what patients’ needs and expectations are. To get the best possible care you can find, we encourage you to make the right decision and admit yourself to our detox clinic in Spring Hill and Brooksville. With help from our doctor, you will get back on your feet in no time.
(Sources: American Society of Addiction Medicine
The effects of pain on your life
Pain is the body’s natural reaction to something not being right. It can’t be ignored or constantly numbed with painkillers. If you experience any type of pain for a significant period of time, you need to consult a doctor. Although our tolerance of pain differs depending on many individual factors, living life in constant pain is no way to live. Not only does it cause physical discomfort while awake, it can actually affect other areas of your life, too. What are some of the effects of pain on your life?
Pain’s effects on sleep
Good quality sleep is crucial to your overall health and well-being. It gives your body a chance to unwind, relax, rest, and most importantly – heal. The importance of sleep – especially if you suffer from a health condition – cannot be emphasized enough. Unfortunately, pain can cause you to have trouble sleeping; worse yet, sleep deprivation contributes to a decline in both your physical and mental state.
Not getting enough sleep can lead to serious repercussions, including stress, anxiety and even depression. Don’t ignore the fact that you feel tired but you simply can’t fall asleep. Consult our pain doctor in Hernando County, who will be able to determine the source of pain and pain-related insomnia, and prescribe proper treatment.
Pain’s effects on your mental health
Prolonged (chronic) pain leads to a lot of emotional distress. Unfortunately, stress affects the body in many negative ways – it leads to higher blood pressure, breathing and heart rate, as well as painful muscle cramps and spasms. Stress is extremely hard on the body. It can lead to fatigue, sleeping problems, and changes in appetite. It can also lead to anxiety, depression, a dependence on others, or an unhealthy dependence on certain medicines. If you experience chronic pain, don’t hesitate to visit our pain clinic in Hernando County. We will help you get rid of your pain and get back to your normal life as quickly and effectively as possible.
Pain clinic in Hernando County – About Pain Management & Spine Care
Pain Management & Spine Care’s Medical Director, Dr. Eyad Alsabbagh, is a fellowship-trained Interventional pain doctor in Hernando County, trained and educated to provide the highest quality of service to patients suffering from multiple conditions, including narcotics addiction and back pain. He utilizes state-of-the-art technology at his Pain Management Clinic in Brooksville. If you wish to find out more about the treatments we provide, or schedule an appointment in our facility, have a look at our website or contact us today.
Addiction occurs when a person comes to depend on a substance – such as drugs or alcohol – and regularly overuses it. There is a stigma around addiction that often prevents people from getting proper help. Embarrassment, humiliation, despair – these are often daily feelings for people struggling with addiction. But developing an addiction is easier than we think and, contrary to popular misconception, it has nothing to do with a strong will (or the lack thereof).
If you are currently looking for ways to fight your addiction, you have come to the right place. Our detox clinic in Brooksville is a place where you can detoxify your body in a safe and comfortable environment. This is a judgment-free zone, so you can forget about the shame and focus solely on your healing.
In our detox clinic in Hernando County, we work with patients with alcohol and/or opioid addiction. We believe that each patient is different, so we take an individualized approach to each and every person visiting our practice. Dr. Eyad Alsabbagh, as a Board Certified Interventional Pain Management Physician, is experienced in the field of pain management and addiction.
Our detox clinic in Brooksville is equipped with the necessary facilities and staff to treat people who are suffering from addiction.
What is a detox clinic? How is our detox clinic in Brooksville different from other clinics?
The first step in treating addiction is detox (detoxification) of the body.
Detox is short for detoxification and is defined as:
- a program or facility for assisting a person undergoing detoxification from an intoxicating or addictive substance (Merriam-Webster Dictionary).
It is very important to go through this process in a proper environment, such as a detox clinic, because the patient will have to face withdrawal. The severity of withdrawal symptoms depends on the patient, but it’s best to go through the process under the supervision of a physician.
In our facility, our patients’ health and well-being is the biggest priority. The staff and the clinic work together with the patient to try to free them from their addiction. We provide a safe and comfortable environment to allow patients maximum privacy.
Detox Clinic Brooksville – How do we cure people of their addiction?
As mentioned previously, we treat each patient individually. The methods used to cure addiction depend on the patient and the type of addiction. Different approaches are used for opioid addiction vs. alcohol addiction:
Alcohol Addiction Treatment
Depending on the severity of the addiction, benzodiazepines may be used to help reduce the withdrawal symptoms. ‘Delirium tremens’ is a severe form of withdrawal which is associated with symptoms such as seizures, anxiety, mental confusion, and hallucinations. If used, medications such as benzodiazepines are part of a larger, holistic treatment plan which addresses both the mind and the body.
Opioid Addiction Treatment
The FDA has approved several medications which can be used to aid in the treatment of drug addiction, including suboxone. Using medications such as suboxone is just one part of drug addiction treatment. Medications are part of a bigger, holistic treatment plan, addressing both the mind and the body.
What is suboxone?
Suboxone is a mix of buprenorphine and naloxone. It is used in the treatment of opioid addiction. In cases of severe addiction, the use of suboxone can greatly help relieve the addiction of opioids while lessening the withdrawal symptoms. When taken as prescribed, suboxone can be a very effective method of treating addiction, BUT when used in treating the opioid addiction, it must be used under supervision of a doctor. Buprenorphine was approved for medical use in the United States in 1981. In 2012, 9.3 million prescriptions for the medication were written in the United States1.
A WORD FROM DR. ALSABBAGH ABOUT ADDICTION
“The challenge of treating patients with addiction is to differentiate between addiction or dependency and pseudo-addiction, which requires a totally different approach and different strategy. Patients are often in a position where no one believes them that they are in pain, and subsequently even consider illegal medications to control pain. We have to go to the root cause, explore their history through an exam, not simply relying on other doctors’ diagnoses. I probably see it weekly now when I treat patients. As a practicing physician for many years, when looking for possible causes of pain, I see how patients are often using illegal drugs, or even making multiple ER visits or over-using their pain medications, to control pain, which results in them being labeled as “addicts”.
Addiction is an illness. Once the substance of dependence hijacks the brain, it’s very difficult to put an end to it, even if we really want to. Addiction makes permanent alterations to the brain, corrupting the instincts responsible for recognizing pleasure and pain. That’s why it’s so difficult to beat, especially on your own. You’re simply no longer able to recognize the dangers of the substance you’re addicted to. Fighting your addiction by yourself can be very difficult. Don’t be afraid to look for professional help. Our Detox Clinic in Brooksville is highly effective at helping patients take on their dependence and get back to normal life. You can become one of them – all you need to do is contact us and let us help you get through this.
PAIN MANAGEMENT BROOKSVILLE – ABOUT PAIN MANAGEMENT & SPINE CARE
Pain Management & Spine Care’s Medical Director, Dr. Eyad Alsabbagh, is a fellowship-trained Interventional Pain Medicine physician, trained and educated to provide the highest quality of service to patients suffering from multiple conditions, including narcotics addiction and back pain. He utilizes state-of-the-art technology at his Detox Clinic in Hernando County. If you have any questions or would like to find out more about our clinic, contact us.
Living life in pain is a reality that many people have to face. Depending on its severity and the area it affects, pain can really make it impossible for a person to live a normal life. In extreme cases, it makes it impossible to even get out of bed in the morning. There are many reasons for pain to occur. It is usually a signal your body is sending to let you know that something is wrong.
Our bodies are equipped with an early warning system that uses pain as an indicator of a problem occurring within. Therefore, the only way to treat pain effectively is to find out its cause. At our pain clinic in Hernando County, our medical staff does exactly that – we focus on first diagnosing the source of pain. Only then do we prescribe the patient with the appropriate treatment.
Are you also struggling with pain? Perhaps it has become a constant in your life, and you simply don’t know how to move past it. Know that there are ways to get rid of it and get back to your normal, pain-free life. All you need to do is get professional help. In this article, we will discuss 5 (of many) pain treatment options that we provide in our pain clinic in Spring Hill and Brooksville.
1. Medial Branch Block
This treatment is very effective for patients experiencing back pain. During the procedure, an anesthetic is injected closed to the medial nerves connected to a specific facet joint in the spine. Medial Branch nerves spread out from spinal facet joints and are responsible for carrying pain signals to the brain. The Medial Branch Block is also treated as a diagnostic tool that helps determine whether facet joints are the source of the patient’s back pain (and if so, at which joints). Before the injections, the doctor will usually ask the patient to get a CT scan or an MRI. In many cases, a Medial Branch Block can result in immediate pain relief, but that of course depends on the patient’s condition. If you are experiencing back or neck pain, contact us to make an appointment at our pain clinic in Spring Hill or Brooksville, during which our doctor can determine whether you are a good candidate for a Medial Branch Block.
2. Radiofrequency Ablation
Radiofrequency Ablation is a treatment option for patients struggling with back, neck or joint pain. During the procedure, an area around the nerve tissue is heated up by an electrical current produced by a radio wave. A small needle is injected near the affected area in order for the doctor to be able to place the electrode (through which the radiofrequency current is sent to heat the nerve tissue) in the optimal position. It is aimed at decreasing the pain signal from the affected area. Radiofrequency Ablation is usually prescribed for patients suffering from long-term back/neck pain or arthritis. If you are experiencing back, neck or joint pain, contact us to make an appointment at our pain clinic in Hernando County, during which our doctor can determine whether you are a good candidate for a Radiofrequency Ablation.
3. Spinal Cord Stimulator
A Spinal Cord Stimulator is a procedure that aims at masking pain signals before they reach the brain. During the procedure, a small device – a Spinal Cord Stimulator (SCS) – is placed under the patient’s skin. It then starts to send a mild electric current to the spinal cord that modifies and masks the pain signals on their way to the brain. This can effectively reduce or eliminate pain in the affected area. This treatment option doesn’t eliminate the source of the pain; it simply lessens the symptoms by altering the signals received by the brain. It can be an option for patients who are still suffering from pain despite trying other methods and treatment options.
4. Nerve Block
A Nerve Block is a procedure during which a nerve-numbing substance is injected in the body to reduce pain. There are several different types of nerve blocks, depending on the area affected by the pain:
- Trigeminal nerve blocks (face)
- Ophthalmic nerve block (eyelids and scalp)
- Supraorbital nerve block (forehead)
- Maxillary nerve block (upper jaw)
- Sphenopalatine nerve block (nose and palate)
- Cervical epidural, thoracic epidural, and lumbar epidural block (neck and back)
- Cervical plexus block and cervical paravertebral block (shoulder and upper neck)
- Brachial plexus block, elbow block, and wrist block (shoulder/arm/hand, elbow, and wrist)
- Subarachnoid block and celiac plexus block (abdomen and pelvis)1
A Nerve Block can be very effective in many cases, but prior to making the decision about undergoing the procedure, you need to consult your pain management doctor. Contact us now to make an appointment.
5. Botox Injection
A Botox injection can benefit patients suffering from muscle pain, neck pain, migraines, and/or myofascial pain. During the procedure, Botox is injected into the affected area, thus blocking the release of acetylcholine, a substance that causes the muscles to contract (and therefore cause pain). The Botox injection helps the muscles relax for up to 3 months after the procedure. To determine whether you are a good candidate for a Botox injection, consult our pain management doctor in Hernando County.
Pain management in Brooksville – About Pain Management & Spine Care
Pain Management & Spine Care’s Medical Director, Dr. Eyad Alsabbagh, is a fellowship-trained Interventional Pain Medicine physician, trained and educated to provide the highest quality of service to patients suffering from multiple conditions, including narcotics addiction and back pain. He utilizes state-of-the-art technology at his Pain Management Clinic in Brooksville. If you wish to find out more about the treatments we provide, or schedule an appointment in our facility, have a look at our website or contact us today.
Dr. Eyad Alsabbagh, as a Board Certified Interventional Pain Management Physician, is experienced in the field of pain management and addiction. Our detox clinic in Brooksville is equipped with the necessary facilities and staff to treat people who are suffering from addiction.
Check out Dr. Alsabbagh’s the latest video:
A WORD FROM DR. ALSABBAGH ABOUT ADDICTION
“The challenge of treating patient with addiction is to differentiate between addiction / dependency and pseudo addiction, which requires a totally different approach and different strategy. Patients are often in a position where no one believes them, or believe they are in pain, and subsequently even consider illegal medications to control pain. We have to go to the root cause, explore their history through an exam, not simply relying on other doctors’ diagnoses. I probably see it weekly now when I treat patients. As a practicing physician for many years, when looking for possible causes of pain, I see how patient are often using illegal drugs or even using multiple ER visits, or over-using their pain medications to control pain, which results in them being labeled as “addicts”.
If you would like more information about our detox clinic in Brooksville, please Contact Us.
Living in pain is no way to live. Of course, pain is an inevitable part of our life, and it is an important signal our body is giving us to let us know something is wrong. However, chronic (long-lasting) pain can really make your life unbearable. Depending on its severity, it can turn the simplest of activities into big challenges. Don’t let pain ruin your life. Many patients who seek help at our pain clinic in Hernando County have a history of numbing their pain with painkillers. This approach is wrong for two reasons: 1) the painkillers target just the symptom and NOT the source of pain, 2) they are highly addictive and harmful to internal organs (if consumed in high amounts over a long period of time). Therefore, if you are also struggling with pain, your best option is to visit a pain management doctor, such as our pain doctor in Hernando County, Dr. Alsabbagh. Getting professional help is the first step on the road to pain-free life.
What is the difference between pain management & interventional pain management?
Interventional pain management is a subspecialty of pain management, specializing in pain blocking techniques, usually with the use of: injection therapies; destruction of painful nerves using multiple modern technologies, such as radiofrequency ablation or laser procedures; spinal cord stimulators; dorsal root ganglion stimulators; intrathecal pump implantation; and vertebroplasty for fractures. A good-quality interventional pain management specialist will determine whether your condition qualifies for this kind of therapy. Interventional pain management treatment utilizes therapeutic approaches to alleviate pain without the use of prescriptions, which unfortunately is not a common approach among many pain management specialists these days. Interventional pain management specialists treat symptoms related to chronic pain, including general discomfort, difficulty sleeping, soreness, and tightness, burning, aching, or electrical feelings. Treatments can also help relieve pain related to Parkinson’s disease, epilepsy, neuropathy, headaches, bone pain, back pain, and muscle pain.
Affordable interventional pain practice – About our pain clinic in Hernando County
Pain Management & Spine Care’s Medical Director, Dr. Eyad Alsabbagh, is a fellowship-trained Interventional Pain Medicine pain doctor in Hernando County, trained and educated to provide the highest quality of service to patients suffering from multiple conditions, including narcotics addiction and back pain. He utilizes state-of-the-art technology at his Pain Management Clinic in Brooksville. If you wish to find out more about treatments we provide, or schedule an appointment in our facility, have a look at our website or contact us today.
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Our Pain Clinic in Hernando County – Pain Management & Spine Care – is proud to serve patients with the best quality of service. Pain Doctor in Hernando County Dr. Alsabbagh has a lot of experience in treating pain of different kinds. Whatever the cause, we will be able to help you get rid of the pain and get back to your normal life.
There are many ways to treat pain. It all depends on the intensity and, of course, the reason why the pain occurs. Finding the cause is the most important part of treatment; only by knowing the cause can our Pain Doctor in Hernando County diagnose the patient as well as determine the proper course of treatment.
Here is a quick reminder about the services provided at our center:
Pain Management near Brooksville
Depending on your condition, we offer the following procedures:
1. Medial branch block lumbar, cervical and thoracic
2. Radiofrequency ablation
3. Spinal cord stimulator
4. Nerve block
5. Botox injection
6. Joint injections
7. Sympathetic chain block
8. Intercostal nerve block
9. Trigeminal nerve block
10. Occipital nerve block
11. Stellate ganglion block
12. Ultrasound guided procedures
13. Lumbar epidural
15. Transforaminal epidural
16. Caudal epidural
17. Cervical epidural
18. Peripheral nerve block
19. Neuropathy treatment
About Pain Management & Spine Care
Pain Management & Spine Care’s Medical Director, Dr. Eyad Alsabbagh, is a fellowship-trained Interventional Pain Medicine physician, trained and educated to provide the highest quality of service to patients suffering from multiple conditions, including narcotics addiction and back pain. He utilizes state-of-the-art technology at his Pain Management Clinic in Brooksville. If you wish to find out more about treatments we provide, or schedule an appointment in our facility, have a look at our website or contact us today.
Addiction is an illness. Contrary to popular misconception, no one chooses to become addicted. Once it hijacks the brain, it’s very difficult to put an end to it, even if we really want to. Before determining the reasons WHY people get addicted, first let’s discuss what addiction really is. Can we say that someone is an addict if they do something very often, or they say they can’t live without that particular thing? Not necessarily. However, if the person loses control over that particular thing, meaning they cannot do something or cannot stop doing something despite their intentions, this is a clear sign that they might have gotten hooked. Addiction makes permanent alterations to the brain, corrupting the instincts responsible for recognizing pleasure and pain. That’s why it’s so difficult to beat, especially on your own. You’re simply no longer able to recognize the dangers of the substance you’re addicted to.
So let’s answer the twin questions: How do people get addicted in the first place? Is there a way to break the addiction once and for all?
Understanding the process – What are some of the factors contributing to addiction?
In the last century, addiction was considered a clear sign of a flawed character or evidence of a lack of willpower. It was associated with weakness and heavily ostracized. It wasn’t until recently that scientists began to understand that addiction is actually a mental illness that the person affected has little control over. WIth that, addiction finally became part of a much needed public discussion: Patients started to receive proper attention, and new treatment ideas were slowly developed.
Studying the brains of drug or alcohol addicts has allowed doctors to understand how addiction develops. Our mind recognizes pleasure by releasing a chemical called dopamine, which makes us feel good. All drugs of abuse are believed to cause a particularly strong reaction in the brain’s pleasure center. The brain recognizes the dopamine release as a reward; depending on how strongly the drug affects the user, the brain begins to not only expect it, but demand it. The sudden sense of satisfaction is so overwhelming that the person starts to believe (or rather, their brain makes them believe) that they cannot function without the substance.
The other aspect of addiction is the body’s growing tolerance to the abused substance. With time, our bodies get accustomed to its effect and start to demand the more intense feeling that accompanied the first use. As a result, a person with addiction increases their intake. It’s a vicious circle, because the more the brain feeds off the drug, the more it demands. At this point, something called compulsion takes over. In other words, the person is no longer conscious of controlling the urges. The drive becomes so powerful that the only way to satisfy it is to use.
Does it mean that overcoming addiction is impossible? Of course not! But it’s not just a matter of willpower, as was previously believed. Some of the treatments include self-help strategies, psychotherapy, medications, and rehabilitation programs. Which one you choose will depend on your case. That’s why it’s extremely important that you consult a physician before you begin the healing process. Did you know that in our Detox Clinic in Hernando County, you will find everything you need in order to break the cycle and start recovering?
Pain Management Brooksville – About Pain Management & Spine Care
Pain Management & Spine Care’s Medical Director, Dr. Eyad Alsabbagh, is a fellowship-trained Interventional Pain Medicine physician, trained and educated to provide the highest quality of service to patients suffering from multiple conditions, including narcotics addiction and back pain. He utilizes state-of-the-art technology at his Pain Management Clinic located in Brooksville.