This comprehensive yet practical handbook consolidates information needed by health psychologists working alongside other healthcare professionals. It facilitates the progression of the learner from the classroom to the clinical setting by focusing on the translation of science to practice using practical examples. The Handbook is divided into four major parts. Part I highlights practical issues faced by health psychologists in a medical setting (how to motivate patients, consultation-liaison, assessment and screening, brief psychotherapies, ethical issues, etc.) Part II concentrates on treating unhealthy behaviors (alcohol and nicotine use, noncompliance, overeating/obesity, physical inactivity, stress). Part III considers behavioral aspects of medical problems (pain management, hypertension, diabetes, cancer, sexual dysfunction, HIV/AIDS, irritable bowel syndrome, insomnia). And Part IV takes up special issues relevant to practice and research in the field (minority issues, women’s issues, working with geriatric populations, public health approaches to health psychology and behavioral medicine). The Handbook will prove to be an invaluable resource for those already working in the field of health psychology as well as for those in training.
Chapter 11: Management of Inappropriate Medication-Seeking Behavior
Management of Inappropriate Medication-Seeking Behavior
Perhaps one of the largest occupational challenges faced by clinical health psychologists is that of addressing the unhealthy and/or inappropriate use of medications. The problem of medication seeking is made all the more complex because medication-seeking behavior is not solely the responsibility of the patient who is actively engaged in the behavior. The prescribing providers, the health care system in which the patient seeks treatment, and (most recently) the cyber-community for pharmaceuticals all constitute potentially active participants in this high-risk, maladaptive behavior.
Clinical health psychologists are frequently called on to intervene not only with patients but also with providers and the system to effectively extinguish the problem behavior. Indeed, referral sources for evaluation and treatment of medication-seeking ...