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Battling Treatment Resistant Opioid Use Disorder

New faculty and doctoral student portraits for the George Warren Brown School of Social Work Wednesday, Sept. 26, 2012 at Washington University in St. Louis. (Photo © Whitney Curtis)

Similar to treatment resistant depression, there is a subpopulation of those addicted to opioids who do not respond to standard opioid use disorder (OUD) treatments. In a new paper, an addiction expert at the Brown School suggests a new category for these types of patients: treatment resistant opioid use disorder (TROUD).

“The field has suggested that if a treatment does not work, it is either the patient’s fault, they have not hit bottom, or simply we need to try the same treatment again,” said David Patterson Silver Wolf, associate professor and an expert on substance use disorder treatment. “This paper challenges the addiction research and treatment providers to change focus from individuals being resistant to the unique conditions associated with this brain disorder as being resistant to treatment as usual.”

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