"I'm not going to answer that," Alexandra replies.
"I think you know you're addicted to Oxycodone," Dr. Phil says. "Would you like to be where you didn't have to take any pain meds at all?"
Alexandra says she's been there and still experiences an excruciating amount of pain. "I can't find anything that helps me get through the day. Even with pain medication, I still have pain," she shares. "It's just hard."
[AD]"If there was a way to manage it without medication, you would prefer that, right?" Dr. Phil asks.
"I do, in my opinion, think you are addicted to prescription medication, and I think we have to find a way to manage that, because if not, you just kind of stay in a semi-trance all the time, taking pain meds," Dr. Phil tells her.
Dr. Phil warns Alexandra, "The two medications you have don't go together well. They're dangerous. You need to know they're dangerous. They can potentiate one another in a way that really makes the impact unpredictable and high risk, and I think you should get a second opinion about the medicines you've been prescribed."
Dr. Phil asks Alexandra for her thoughts on him saying that she's addicted to prescription meds, and she says, "That's your opinion, and you're entitled to it."
"Do you disagree?" he asks.
"I'm not going to answer that," she says.
Dr. Phil reiterates his concern about the drugs Alexandra is taking. "I think you do have a legitimate pain syndrome that needs to be dealt with, but I don't think you can deal with it with these medications, because I think they are going to rob you of your motivation. I think they're going to rob you of your health. I think they're going to rob you of your future. They can rob you of your life, particularly taking these two together. I think you are at high risk for a super bad outcome."
Dr. Phil adds that he believes Alexandra needs to go to rehab, and he offers to make it available to her. He also suggests she see a leading spine specialist for a second opinion.
[AD]"I don't want to focus on my back pain. I just wish that I could focus on something else in my life," she says.
"I know, as sure as I'm sitting her, that you are an addict, and we're going to have to deal with that," Dr. Phil tells her. He adds that he's asked for a huge favor to get her an appointment with the spine specialist, so she better show up.
"I want to go, but also, I'm supposed to sign up for school on Monday," she says. "That's really important to me too."