Counselor Toolbox Podcast with DocSnipes

1045-CBT Tools to Address Chronic Pain_ It is NOT all in your head!

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Biopsychosocial Impact of Pain

  • Chronic pain affects not just the body but also mental health, including anxiety, depression, and self-esteem.
  • Pain can disrupt circadian rhythms, causing sleep issues, and leads to grief due to loss of function or identity.

    • Types of Prevention

    • Primary prevention focuses on preventing pain flare-ups and pain conditions.
    • Secondary prevention aims at stopping pain from worsening during a flare-up.
    • Tertiary prevention works to prevent secondary issues like depression, addiction, or anxiety caused by chronic pain.

      Evaluating Pain

      • Understand whether the pain is acute or chronic, its quality (e.g., stabbing, throbbing), and if it's constant or intermittent.
      • Behavioral health professionals should help clients identify and differentiate between "normal" pain and distress that can be managed.

        • Balance and Ergonomics

        • It's important to maintain muscular balance between different parts of the body, as imbalance can lead to spasms or worsening pain.
        • Pay attention to ergonomics at work, home, and even when sitting for long periods to prevent unnecessary strain.

          • Exercise and Stretching

          • Gentle movement like stretching, Tai Chi, or yoga can help with mobility and prevent stiffness, which contributes to pain.
          • Avoid overtraining, as this can lead to setbacks in pain management.

            • Nutrition and Supplements

            • Omega-3s, vitamin D, and antioxidants can help reduce inflammation and improve pain management.
            • Ensure a balanced diet, but always consult a registered dietitian or healthcare professional before making significant dietary changes.

              • Vagus Nerve Stimulation (VNS)

              • VNS, triggered through slow diaphragmatic breathing, promotes relaxation and can help reduce pain.
              • Transcutaneous Vagus Nerve Stimulation (TVNS) with a TENS unit can also help manage pain and inflammation.

                • Stress and Pain

                • Chronic stress disrupts the body's ability to suppress pain and inflammation, often worsening pain.
                • Managing stress through relaxation, reducing alcohol, and engaging in mindfulness techniques can reduce pain's intensity.

                  • Pharmacotherapy and Medical Interventions

                  • Medication can help manage pain, but it often just masks the pain rather than treating the underlying cause.
                  • Patients should work with their healthcare provider to find a balanced approach to pain management that may include over-the-counter options, opioids, or adjuvant therapies like muscle relaxants or corticosteroids.

                    • Cognitive Behavioral Therapy (CBT) Techniques

                    • Use CBT to help patients change the way they think about their pain, reducing emotional distress.
                    • Techniques like guided imagery, distraction, and radical acceptance are crucial tools for helping patients focus on what they can control and improve their quality of life despite chronic pain.


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                      Counselor Toolbox Podcast with DocSnipesBy Dr. Dawn-Elise Snipes
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