A person who misuses prescription medicine will do anything to get doctors to prescribe more drugs. They will lie about the severity of their symptoms, forge prescriptions, beg or even shop doctors to try to access the medications. These are a few types of drug-seeking behaviors.
The sad news is that most drug seekers won’t admit to the drug problem. Some will justify their actions by claiming that prescription drugs help them manage their chronic pain or mental health issues. Their denial makes it hard to get them into addiction treatment. Unfortunately, this drives them deeper into using, opening them up to potential substance abuse and ensuing substance abuse disorders.
Prescription drug abuse involves the use of pain medication for their pleasurable side effects instead of prescribed pain relief reasons. As defined by the National Survey on Drug Use and Health (NSDUH), prescription drug misuse is any use contrary to the doctor’s direction, and includes:
According to the 2015 NSDUH report, about 91.8 million adults in the United States, 18 years and older, used pain relievers in the past year. Of this number, 11.5 million misused pain medication at least once over the same time. Another report on the National Institute on Drug Addiction website shows that 18 million people had misused prescription drugs at least once a year leading up to 2017. Many cited physical pain as the reason behind the abuse. NSDUH’s research on prescription drugs was specific to controlled substances.
Controlled substances are drugs that have been declared illegal for use or sale in the open market but can be dispensed under a doctor’s prescription. This aims to reduce the risk of drug abuse, addiction, mental and physical harm, or death. It also protects the public from potential dangers arising from the actions of those under the influence of these drugs.
A drug seeker is anyone who manipulates a healthcare provider to try to obtain medications. They are primarily patients who abuse alcohol and drugs or are in chronic pain. But drug seekers can also be people who want to barter or sell most or all of the prescription drugs they get.
It is not easy to tell a legitimate patient apart from a drug-seeker. The latter could be someone unfamiliar to you. They may claim to be from another town and have forgotten or lost a prescription of drugs. They could also be someone familiar to you, like a co-worker, another practitioner, relative, or friend. Drug seekers often have the same traits and behaviors. Knowing these behaviors and tricks is the first step to detecting those trying to manipulate you into obtaining desired drugs.
Someone with drug-seeking behavior may walk into a medical office and request specific drugs by name. They may tell you about the drug, dose, and quantity they want. In many cases, this patient may not want to listen to anything you says. Additionally, they may aggressively complain about a need for the drug. They will ask for brand names, request dose increases, and even claim to have multiple allergies to alternative medicines. Efforts to diagnose their issues may result in irritation or anger on their part. Typical requests and complaints are obvious drug-seeking behaviors that can give the drug seeker away.
This is a pretty obvious drug-seeking behavior that some patients use. Drug seekers know that they cannot access controlled substances without a doctor’s prescription. So, they go ahead and forge one to get the drugs. In case a patient does this, it’s essential to notify law enforcement because forging prescriptions is illegal in the United States.
Since drug-seeking patients are only interested in obtaining prescription drugs, they hardly keep follow-up appointments. Once they get their drugs of choice, they will disappear into thin air until they need more, then they resurface.
Another common trait of people with drug-seeking behavior is self-medicating. These patients will go ahead and use pain drugs for other reasons. They may use it for stress, anxiety, or even sleep. Regular self-medication can lead to addiction and the worsening of these mental health disorders. The problem may only worsen as they may use more drugs to address withdrawal symptoms or the dependence issue.
Once a drug-seeking patient with a substance use disorder gets their prescription for pain drugs, they will be excessive in their flattery. Some might shower you with praises, suggesting you are the best in the field. They will even hug you to show their appreciation. However, this will only go on as long as they get what they want. When you calmly and clearly state the effective treatment plan and explain that their condition doesn’t warrant the prescription of opioids, the entreating suddenly ceases. Usually, these patients can sense when the doctor is indecisive or decisive.
Patients with drug-seeking problems or alcohol addiction see many physicians in a short period. When their effort to obtain a drug fails, they will move to the next physician or pharmacy with the hopes of getting the drugs. Some will even travel from different towns or cities in an attempt to get prescription drugs. But it’s particularly alarming when the patient fails to mention their previous physician visits. Some states provide systems to help doctors check whether their patient sees other doctors who are prescribing a similar drug.
Someone who is genuinely in pain wants it to end. They’re willing to try out any treatment or therapy that would make that happen. But that’s not the case for a drug seeker.
Patients may come to you with new complications that mimic withdrawal symptoms. They may say that they are experiencing anxiety, nausea, shaky hands, depression, insomnia, diarrhea, etc. Some might even open up about their using habit. For example, a patient may say they occasionally use drugs or alcohol and are under some prescribed medications. If this is the case, it could be a clear sign that they are abusing prescription drugs and are at high risk for drug misuse.
Never dispense drugs when you have your suspicions about a patient. Instead, perform rigorous tests and document all results. You may also want to request a picture ID and Social Security number and call the previous doctor to confirm the patient’s story. Basically, you want to make sure that all the details check before prescribing the medicines.
If you have reasons to believe that the patient has addiction problems, you might want to help them get addiction treatment. Treatment programs exist to help patients get off of prescription drugs. Different support groups like Alcoholics Anonymous and Narcotics Anonymous can also offer additional support to recovering patients one on one or in group therapy.