My specialty has been in subtance abuse for 8yrs and whether they are seekers or not they are in pain, withdraw does cause a patient to go into immediate pain as soon as the pain med wears off so yes now they are seeking, intentionnally or not, the patient may not be aware that they have developed a problem or that they are developing a problem, I have to say that it is up to the M.D. to determine what the patient needs are all we can do is continue to educate ourselves in the field we specialize in, so that we can educate our patients, and pray for the patients we work for, there are alot of excellent sites you can look up in regards to addictions and recognizing withdraw Sx, in order to differentiate the seeker from a new patient, who can be taught other ways of pain management, because once addicted to pills, I have learned that it is a long road to freedom. Some withdraw symptoms are chills, dialated pupils, muscle aches, their back and leg hurt the most, sweats, yawning, teary eyes, runny nose and difficulty sleeping, but most commonly you will find the patient over medicating or switching doctors alot, some patient frequent the E.R. so they can get an immediate script for pain medication these are definite tell tail signs. But they are still patients none the less and they still have a sickness that needs to be treated.:redbeathe