Mark D. Sullivan, MD, PhD

@DrMarkDSullivan

Professor of Psychiatry and Behavioral Sciences at • Author of The Patient as Agent of Health and Health Care

Vrijeme pridruživanja: kolovoz 2018.

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  1. Thanks to of for including my thoughts on how we should best use opioids.

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  2. Thanks to for his generous review of my book, The Patient as Agent of Health and Health Care.

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  3. In this presentation, I argue that pain exists more to protect than to inform, so survival implications affect pain processing. The salience and valence of pain are continually adjusted to promote survival.

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  4. It is possible to taper without an increase in pain or activity interference.

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  5. In this presentation, I argue that patient agency is an essential goal for mental health care integrated into the primary care management of chronic disease.

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  6. There is no doubt that chronic pain may cause depression, but can also play a role?

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  7. Our foremost duty to patients with chronic pain is not to reduce their pain intensity but to improve their health. This consists of increasing the capacity of patients to be agents in their own lives.

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  8. Shared decision-making can only take place within an ongoing partnership between the clinician and patient. The clinician must know the patient well-enough to be able to answer the patient's question: "What would you do, if you were me?"

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  9. Patients on long-term therapy for chronic pain may develop a refractory dependence on opioids that is more complex and persistent than our usual understanding of "physiological dependence" but is not opioid addiction.

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  10. My book, The Patient as Agent of Health and Health Care, is available for purchase via Amazon and .

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  11. In this presentation, I examine how we define and perceive health. Is it an objective, observed phenomenon? Is it a subjective, experienced phenomenon? Or is it some combination of the two?

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  12. Our article published in found that legalization of recreational does not affect compliance rate in patients treated with opioid therapy for chronic pain.

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  13. Can contribute to depression in chronic pain? Our 2018 review published in discusses this possibility.

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  14. In 2015, we proposed that pain intensity is not the best measure of success of chronic-pain treatment.

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