Pain management

Ok I have backed off on pain meds and my wife says I become aggressive , agitated, argumentative and mean. So I increase them and I become goey, silly, clouded, uninhibited. So has anybody heard of a pain management therapist . She my wife suggested it so I am open anybody have any ideas?

Most anesthetists (M.D.) are pain management specialists.

The anti-depressant category works great for me. I also take gabapentin (3.6k to 4.8k daily).

When I am back on them the first thing is constant heavy eyelids. Difficulty urinating. Groggy