Abstract

This article addresses some of the complexities that arise in sexual minorities, primarily lesbians, who require treatment for chronic pain. Particular emphasis is on the additional complication introduced when such patients also suffer from some form of chemical abuse or dependence in different stages of evolution, ranging from active use to recovery to relapse. The intermingling of chronic pain and addiction varying from iatrogenic addiction to chemical diversion is addressed. Attention is paid to both established and anecdotal evidence of trends in different populations and the implications of these trends for treatment strategies.

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