Risk Variables

• Family History
  • Alcohol, Illegal Drugs, Prescription agents
• Personal History
  • Alcohol, Illegal Drugs, Prescription agents
• Age (16-45)
• History preadolescent sexual abuse
• Psychologic/Psychiatric Disease:
  • ADD, OCD, Bipolar, Schizophrenia, Depression

Aberrant Behaviors – more predictive:

• Selling prescription drugs
• Prescription forgery
• Stealing/”borrowing”
• Injecting oral drugs
• Multiple drugs
• Unsanctioned escalation
• Resisting change despite side effects
• Prescription losses

Aberrant Behaviors – less predictive:

• Aggressive complaining about need for increased doses
• Drug hoarding
• Specific drug request
• Use of drug to treat other symptoms
• Multiple escalations