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However, it can be difficult for a physician to distinguish between drug-seeking behavior and the need for more pain therapy. Dopamine, a chemical messenger in the brain, mediates internal rewards and is involved in an addict's drug-seeking behavior. Another option, particularly when existing treatment seems inappropriate and/or drug-seeking behavior is obvious, is to make it clear that only new treatment will be administered; this will promptly cause you to "lose" patients who are not sincerely interested in proper management. |
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