Patient counseled regarding psychosocial and pharmacologic treatment options for opioid addiction (SUD)
CPT4 code
Name of the Procedure:
Counseling for Opioid Addiction Treatment
Common Names: Substance Use Disorder (SUD) Counseling, Opioid Addiction Counseling
Summary
Opioid addiction counseling involves discussing various treatment options with a patient, including both psychosocial and pharmacologic therapies. The goal is to provide the patient with comprehensive information and support to manage and recover from opioid addiction.
Purpose
Medical Condition:
Opioid Use Disorder (OUD), commonly referred to as opioid addiction.
Goals:
- To inform and educate the patient about treatment options.
- To assist in developing a tailored treatment plan.
- To support long-term recovery and manage addiction.
Indications
- Diagnosed opioid use disorder (OUD).
- Patients showing signs of opioid dependency or addiction.
- Individuals seeking help for opioid misuse.
Preparation
- No specific physical preparation is needed.
- Patients should come prepared to discuss their medical history and current substance use.
- Bring a list of current medications, including non-prescription drugs and supplements.
- Initial assessments or screenings might be conducted to evaluate the extent of addiction.
Procedure Description
- Initial Meeting: The healthcare provider meets with the patient to discuss their history with opioid use.
- Assessment: Conducting assessments or screening tools such as questionnaires to understand the severity of the addiction.
- Discussion: Explaining the psychosocial options:
- Cognitive Behavioral Therapy (CBT)
- Motivational Interviewing (MI)
- Group Therapy
- Support Groups (e.g., Narcotics Anonymous)
- Pharmacologic Treatment Options:
- Methadone
- Buprenorphine
- Naltrexone
- Detailed explanation of how these medications work and their benefits.
- Developing a Plan: Collaborating with the patient to determine the most suitable treatment plan.
- Follow-up: Plan for regular check-ins and adjustments to the treatment plan as needed.
Duration
The initial counseling session typically lasts between 30 minutes to 1 hour. Follow-up sessions can vary.
Setting
The procedure is usually conducted in an outpatient clinic or healthcare provider's office.
Personnel
- Licensed counselor or therapist
- Physician or healthcare provider specialized in addiction
- Nursing staff (if medication management is involved)
Risks and Complications
- Minimal risks associated with the counseling process itself.
- Potential for emotional distress when discussing addiction and personal history.
- Risks related to pharmacologic treatments will be discussed with the patient.
Benefits
- Comprehensive understanding of opioid addiction and treatment options.
- Development of a personalized treatment plan.
- Support for long-term recovery and avoidance of relapse.
Recovery
- No physical recovery needed from the counseling itself.
- Ongoing follow-up and support essential for long-term success.
- Behavioral and medication management will be monitored through regular appointments.
Alternatives
- Exclusive reliance on psychosocial treatments without pharmacologic interventions.
- Considering inpatient rehab for severe cases.
- Self-help groups and community support without formal medical guidance.
Patient Experience
- During: Open discussion about addiction in a supportive environment. An assessment of personal readiness for various treatment options.
- After: Patients might experience relief from having a plan. Emotional support is available during follow-ups. Pain management and comfort measures are discussed if withdrawal symptoms occur.