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Psychiatric Considerations in NTOS

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Thoracic Outlet Syndrome

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Abstract

Depression and substance abuse are two psychiatric co-morbidities found in chronic pain populations. Because both can influence quality of life, pain perception, and response to treatment, they should regularly be evaluated and treated when present. Treatment for depression includes various antidepressants, some of which have analgesic properties, and psychotherapy. Patients actively abusing pain medications, alcohol or illicit drugs should be referred to a substance abuse treatment program. However, distinguishing between pain medication overuse/abuse and poorly controlled pain can be difficult, and over diagnosing pain medication abuse may result in pejorative labeling of patients and withdrawal of pain-relieving analgesics.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Washington University School of Medicine, 660 South Euclid Avenue, 8054, St. Louis, MO, 63110, USA

    Beverly Field PhD

Authors
  1. Beverly Field PhD
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Correspondence to Beverly Field PhD .

Editor information

Editors and Affiliations

  1. , Division of Vascular Surgery, University of South Florida, Tampa General Circle, STC 7016 2, Tampa, 33606, Florida, USA

    Karl A. Illig

  2. Barnes-Jewish Hospital, Department of Surgery, Washington University, Queeny Tower Campus Box, St. Louis, 63110, Missouri, USA

    Robert W. Thompson

  3. , Department of Surgery, John Hopkins Medical Institutions, Rutland Avenue - Ross 759 729, Baltimore, 21205, Maryland, USA

    Julie Ann Freischlag

  4. , Department of Thoracic Surgery, Blake 15, Massachusetts General Hospital, Fruit Street 55, Boston, 02114, Massachusetts, USA

    Dean M. Donahue

  5. Neurological Associates of West LA, Wilshire Blvd, Suite 790 2811, Santa Monica, 90403, California, USA

    Sheldon E. Jordan

  6. , Graduate Program in Physical Therapy, UCSF/SFSU, Balmoral Street 2429, Union City, 94587, California, USA

    Peter I. Edgelow

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© 2013 Springer-Verlag London

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Field, B. (2013). Psychiatric Considerations in NTOS. In: Illig, K., Thompson, R., Freischlag, J., Donahue, D., Jordan, S., Edgelow, P. (eds) Thoracic Outlet Syndrome. Springer, London. https://doi.org/10.1007/978-1-4471-4366-6_38

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  • DOI: https://doi.org/10.1007/978-1-4471-4366-6_38

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4365-9

  • Online ISBN: 978-1-4471-4366-6

  • eBook Packages: MedicineMedicine (R0)

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