“Opioid Use Disorder” created by NIDA/SAMHSA/ONDCP

It all started with a survey:


…the 2002-2004 National Survey on Drug Use and Health (NSDUH), a survey conducted by RTI International, sponsored by the Substance Abuse and Mental Health Services Administration, and formatted for public use by the Inter-University Consortium for Political and Social Research. The NSDUH is an annual survey of the civilian, non-institutionalized population aged 12 years and older designed to collect information on the prevalence of substance use and psychiatric comorbidity (Substance Abuse and Mental Health Services Admininstration and Office of Applied Studies, 2003).

And now we have a continuing education course sponsored by the NIDA (6/25/03) — which, by the way, uses the fear of HIV/AIDS (drug needles) and opioid addiction against pain patients. Well, certain kinds of opioid therapy…


(6/25/03) Overview: Opioid abuse is a major problem in the United States. At the end of the 1990s, there were an estimated 898,000 hard-core heroin addicts and 253,000 occasional heroin users (ONDCP, 2001). In addition, it is estimated that two million or more people abuse prescription pain relievers every year (SAMHSA, 2002).

The opioid “epidemic” was based on an “estimation” from two different surveys… from way back in 2001/2002.  When was the last time you took a survey from the federal government?

More physicians will be called upon to treat opioid-dependent patients as opioid treatments move into primary care with the emergence of office-based buprenorphine treatment.

Oh, not because of the opioid “epidemic”?

Website funded by the NIDA:  http://www.buppractice.com/node/5377

Opioid-dependent individuals are at an increased risk for mental illness.

And here we have the psychiatric community weighing in:


(2014) Opioid use disorder: Epidemiology, pharmacology, clinical manifestations, course, screening, assessment, and diagnosis

The psychiatric diagnoses in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) opioid abuse and opioid dependence were replaced by one diagnosis, opioid use disorder, in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Although the crosswalk between DSM-IV and DSM-5 disorders is imprecise, opioid dependence is approximately comparable to opioid use disorder, moderate to severe subtype, while opioid abuse is similar to the mild subtype.

Did you get that?  So, which “subtype” are you?


(2011) Prevalence of Prescription Opioid-Use Disorder Among Chronic Pain Patients: Comparison of the DSM-5 vs. DSM-4 Diagnostic Criteria


(12/9/2008) Clinical Characteristics of Treatment-Seeking Prescription Opioid versus Heroin using Adolescents with Opioid Use Disorder


Now it’s the NIDA’s turn:

Click to access reading_12a.pdf

Major increases in opioid analgesic abuse in the United States: Concerns and strategies

Wilson M. Compton, Nora D. Volkow, National Institute of Drug Abuse

(2005) Substance use and posttraumatic stress disorders: Symptom interplay and effects on outcome

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