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chronic pain

Harm Reduction Psychotherapy vs. Traditional Substance Use Treatment: A Client's Perspective

Since my transition several years ago from a traditional abstinence-based treatment approach to harm reduction psychotherapy, many clients whom I continued working with through my transition have remarked at how dramatically the harm reduction approaches have empowered them to move forward in their therapy and in their lives.

One client offered to share her experiences here to allow others to learn more about what harm reduction approaches can possibly do for them. Every effort has been made to keep her identity anonymous:

 

"AS A PERSON that has experienced both the rigid abstinence-only format of rehabilitation and the more flexible process of harm reduction treatment approaches, my preference is for harm reduction.

People in Addiction Recovery Struggle to Manage Chronic Pain

Many people in addiction recovery also have chronic pain associated with illnesses or injuries. The stigma and public ignorance about addiction and recovery, combined with the epidemic of prescription opioid abuse, create frustrating barriers for many people to get quality, effective care for their pain management.

A recent article in The Philadelphia Inquirer by an anesthesiologist at the Hospital of the University of Pennsylvania identifies the problems built into our healthcare system and culture that contribute to the struggle that people with chronic pain have in getting relief. She describes chronic pain as "a staggering burden, reducing overall quality of life, social functioning, and psychological well-being". She cites a dated but significant research report estimating that pain costs the U. S. public $100 billion a year in associated health care, lost wages, and legal costs. And we know that with as we live longer, the problem is likely to get worse.

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