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COMING SOON: RecoverIQ RACE ACROSS AMERICA (SKILLBASED CONTEST)
Where the Line Blurs: When Pain Management Becomes Addiction: What the Science says (And What it Means) Part II.5
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Patrick Pellett, MS, SAC
June, 2025
Chronic Pain & Addiction Science Series
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Abstract
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Introduction: The Descent No One Talks About
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Section I: Relief Was the Goal — So How Did It Go Wrong?
2 Topics
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Section I: Relief Was the Goal — So How Did It Go Wrong?
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Recovery Translator
Street-Smart Science
Section II: The Myth of the ‘Good Patient’
2 Topics
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Section II: The Myth of the ‘Good Patient’
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Street-Smart Science
Section III: Trauma, Pain, and the Emotional Trap
2 Topics
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Section III: Trauma, Pain, and the Emotional Trap
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Section IV: When the Prescription Runs Out
2 Topics
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Section IV: When the Prescription Runs Out
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Section V: This Descent Is Invisible — Until It Isn’t
2 Topics
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Section V: This Descent Is Invisible — Until It Isn’t
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Recovery Translator
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Section VI: Clinical Blind Spots
5 Topics
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Section VI: Clinical Blind Spots
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Diagnostic Ambiguity in Chronic Pain Populations
Siloed Systems of Care
The Role of Stigma and Provider Fear
Recovery Translator
Street-Smart Science
Section VII: Where Recovery Begins
5 Topics
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Section VII: Where Recovery Begins
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Reframing Recovery for Pain-Based Dependence
Neuroplasticity and the Window for Change
The Role of Grief and Identity in Early Recovery
Recovery Translator
Street-Smart Science
Conclusion: Naming the Descent, Reclaiming the Self
9 Topics
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Conclusion: Naming the Descent, Reclaiming the Self
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Limitations
Scope and Generalizability
Narrative Case Examples
Limitations in Available Data
Stigma and Systemic Bias
Treatment Modalities
Recovery Translator: What This Paper Means in Real Life
Street-Smart Science: What You Can Do With This
References
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