benzos and amphetamines

As a pain specialist occasionally I see truly 'difficult' patients with some combination of depression, anxiety, maybe a PD, and, of course, chronic pain. Usually they are on ridiculous doses of opioids that barely "take the edge off", and among their meds you find both benzos and amphetamines. When I see this I have two reactions: 1) this is an incredibly manipulative patient, and 2) the psychiatrist is a weak fool, or just doesn't care. Can any of you justify putting a patient on both... benzos and amphetamines
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums