Scope Of Pain: Safe & Competent Opioid Prescribing Education

A patient treated with long-term high-dose opioids for chronic pain insists on having her opioid dose increased to improve her pain management and refuses to consider adding other non-opioid medications or accepting referrals to other forms of pain treatment, including physical therapy, cognitive behavioral therapy or acupuncture. How will you respond to this patient's lack of interest in other chronic pain management strategies?