Interpretation of “ Aberrant ” Drug - Related Behaviors

Diagnosis of opioid addiction in chronic pain sufferers is often triggered by occurrence of what have been called aberrant drugrelated behaviors. Ambiguities inherent in this approach affect patient care adversely. Rather than consistently signifying abuse or addiction, these behaviors are often motivated by undertreated pain. Appropriate clinical responses are suggested here, as well as a diagnostic approach prioritizing recognition of undertreated pain.