Author Affiliation: Dr Knight is Associate Director for Medical Education, Division on Addictions, Harvard Medical School, Boston, Mass, and Associate Director, Physician Health Services, Massachusetts Medical Society, Waltham.
Clinical Crossroads Section Editor: Margaret
A. Winker, MD, Deputy Editor.
DR REYNOLDS: Dr L is a specialist physician
in practice for several years who became addicted to hydrocodone. Dr L lives
with his wife, who is also a physician, and his 2 young children.
Dr L was well until several years ago, when he was grieving after a
stressful life event. He began taking antidepressant medication from the sample
closet in his office. He stopped taking the medications after several months
because he had no relief from his symptoms. Gradually, most of his grief symptoms
Knight JR. A 35-Year-Old Physician With Opioid Dependence. JAMA. 2004;292(11):1351–1357. doi:10.1001/jama.292.11.1351