Pain Recovery in The Face of Addiction

Presenters: Lantie Jorandby, MD

Location: NC State University
McKimmon Center
1101 Gorman St
Raleigh, NC 27606

Date: October 10, 2019

Time: 4:00 PM - 6:00 PM EST

Continuing Education: 1 unit/credit*

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Event Summary

Pain is common in addictive disorders. It is important to address ongoing chronic pain in recovery as this can be a trigger for relapse. There are many different types of pain, with different manifestations. Additionally, chronic pain is more complex than on which the Cartesian model our current medical model is based. Chronic pain is now considered a disease state with multiple inputs creating neurosignatures or maps of pain in the brain.

Pain has roots in the same neurochemical and neurobiologic pathways as addiction does in the brain. Hence, both disorders can co-exist and exacerbate each other.
Treatment for chronic pain should include approaching chronic pain from multiple angles, in an effort to reduce the alarm system in the body and brain that is constantly going off during chronic pain.

Treatment strategies to aid with chronic pain and maintain sobriety should include non-narcotic pain medications, mindfulness, movement, psychotherapy.

  • Following this workshop, participants will be able to:
  • Define the history of opioids, pain theory and the different types of pain
  • Review the Neuroscience of Pain
  • Review the Neuroscience of Addiction
  • Understand how to assess chronic pain in addiction
  • Identify strategies to treat pain and aid with maintaining sobriety

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* One (1) continuing education credit approved by the North Carolina Board of Licensed Professional Counselors (NCBLPC) for Licensed Professional Counselor Associate, Licensed Professional Counselor, and Licensed Professional Counselor Supervisor.
* This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of CME Outfitters, LLC and Lakeview Health. CME Outfitters, LLC is accredited by the ACCME to provide continuing medical education for physicians.
Florida Board of Behavioral Sciences: Lakeview Health has been approved by the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider Number 50-17479 exp 3/31/2021.
Florida Board of Psychology is 5/31/2020

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About the presenter

Lantie Jorandby, MD

Chief Medical Officer

Lantie Jorandby, M.D. is the Chief Medical Officer of Lakeview Health, a dual diagnosis and addiction treatment center whose in-patient facility is located in Jacksonville, FL. Dr. Jorandby graduated with honors from Vanderbilt University with a Bachelor of Science in Neuroscience. She attended medical school and completed her residency at the University of Florida. For seven years, Dr. Jorandby worked as a staff psychiatrist and mental health supervisor at the Veterans Affairs Outpatient Clinic in Viera, Florida. After completing her Addiction Psychiatry Fellowship at Yale University, Dr. Jorandby became Medical Director for the dual diagnosis unit at McLean Hospital in Belmont, Massachusetts, which is ranked the top psychiatric hospital in the United States. She also served as faculty at Harvard Medical School in the Department of Psychiatry. She is one of less than 200 physicians in the United States who is dual board-certified in addiction medicine, and psychiatry and neurology.

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