Largely due to draconian involuntary tapers for patients who are adherent with and stable on their regimens of opioids, many patients with chronic pain have become “opiophilic,” believing and professing that opioids are the only effective treatment for chronic pain. Social media is rife with misinformation and disinformation regarding the alleged universal safety and efficacy of prescription opioids, as well as the alleged lack of safety and efficacy of any nonopioid treatments. This is unfortunate, in that myriad patients can be helped with alternative or adjuvant treatments, both pharmacological and nonpharmacological. Communicating with and educating these patients can be challenging and frustrating for providers, who work in a climate of fear of the DEA, state medical boards, insurers, and the hospital corporations for which they work. This course will discuss these issues, along with strategies for communicating and educating more effectively and honestly, which will serve to improve the quality of care and outcomes for our patients and enhance our own professional satisfaction.