Cognitive-Behavioral Therapy for Pain and Opioid Dependence in Methadone Maintenance Treatment

Comparison of Cognitive-Behavioral Therapy and Methadone Drug Counseling for Methadone-Maintained Patients With Co-occurring Chronic Pain and Opioid Dependence

This study involves the comparison of two treatment approaches for patients with chronic pain who are entering methadone maintenance treatment (MMT) for opioid addiction: (a) an integrated counseling that addresses both chronic pain and opioid dependence(POD)and (b) a counseling intervention that addresses opioid dependence only.

Inclusion Criteria:

• 18 years of age or older
• prescription opioid or heroin addiction
• moderate to severe chronic pain
• enrolled in methadone maintenance at the APT Foundation for opioid addiction
• understand English

Exclusion Criteria:

• current suicide or homicide risk
• life-threatening or unstable medical problem