In the three decades I have practiced as a psychiatrist treatment of pain and opioid issues have been complex to treat.

There is a growing number of Americans who are personally affected by the Pain-Opioid Ecosystem. The consequences for the individual, families, friends, communities and the nation have been devastating. Most tragically, opioid overdoses leading to the user's death and serious morbidity have become an increasingly common experience throughout the US. According to the CDC, Deaths from drug overdose have risen steadily over the past two decades and have become a leading cause

In the three decades I have practiced as a psychiatrist the most difficult and challenging individuals I encountered suffered with intractable chronic pain, opioid substance use disorders and people who lost a child, sibling, parent or friend to opioid overdose and individuals who suffered as a consequence of their encounter with the criminal justice system. This is not surprising, chronic pain afflicts one in three Americans. More and more individuals suffer with Opioid Use