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Substance Abuse: A Case Study

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Ms. Roxie Riggs is a Caucasian female 65 years of age who came in today with a history of opiate dependence for the consideration of medically assisted opiate treatment. The patient is at the present time receiving treatment with buprenorphine; however, her provider moved away. She was started on methadone in 2001 (age 51), and was taken off it in 2005 (age 55). The patient has never been treated with naltrexone. Ms. Riggs first started buprenorphine on January 1, 1994, and is presently using the drug.

The patient's lamentable initial experience with opiates was in 1961 when she was age 11 at the suggestion of her close friend and a stranger. Three years later, when she was 14 years old, Ms. Riggs commenced recurrent abuse of narcotics. Within

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