A young woman reports she has "chronic myofacial pain" and is seeking a refill for oxycodone that her family physician usually prescribes, but reports that she ran out of pills. Her story has contradictions; it does not make sense about extra prescriptions and being on trial dosages which physicians are prescribing. She reports taking opioids on days she does not have pain. She reports she has not attempted to decrease her doses. The interviewer reports he learned she is seeking refills from multiple physicians. She reports she tried physical therapy but stopped because the therapist was rude and that her medical insurance does not cover massage therapy. She is very defensive and angry when asked questions about substance use. She admits to sometimes crushing her pills rather than swallowing them.