A client reports that he has been using a pain killer (i.e., Loritab) for the last 18 months and has attempted to stop using the pain killer but has not been able to do so.He also reports taking higher doses to get the same effect, and he is going to multiple doctors to get various prescriptions.A diagnosis you should first consider would be:

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The client's use of a pain killer for an extended period of time, attempts to stop but inability to do so, dependence on higher doses, and seeking multiple prescriptions from different doctors all suggest a Substance Dependence Disorder. Substance Abuse Disorder would be more appropriate if the client's use has not yet resulted in significant impairment or distress. Substance-Induced Somataform Disorder would require the presence of physical symptoms not accounted for by underlying medical conditions, which is not mentioned in the scenario. Addictive Personality Disorder is not a recognized diagnostic category in the DSM-5.

A Client Reports That He Has Been Using a Pain