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Repeat after me. Addiction is not dependence. Dependence is not addiction. When I read "dependence is expected", I will not interpret it as "addiction is expected", and I will ESPECIALLY not immediately assume tolerance, drug seeking, preoccupation, or harming oneself just because of dependence.

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Opioids cause tolerance, drug seeking, preoccupation, and continuance even though the patient knows they're harmful

This behaviour is long established and well known.

I don't think blanket statements like this are helpful, and I think this should be prefaced with 'For some people'.

Opioids do not cause drug seeking behaviour in all people.

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