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Episode 23: The Parts That Hurt
Episode 23: The Parts That Hurt - When Protection Becomes Pain
Episode Description
Ever feel like you're at war with yourself when dealing with chronic pain? One part of you wants to push through while another screams "stop!" In this episode, Dr. Zev Nevo explores Internal Family Systems (IFS) and how understanding the different "parts" of yourself can transform your pain experience. Learn why these internal conflicts keep your nervous system in threat mode—and what you can do about it.
00:00 Introduction to Chronic Pain and Internal Conflict
01:21 Understanding Internal Family Systems (IFS)
01:39 Real-Life Examples of Internal Conflict
05:03 The Neuroscience Behind Pain and Internal Conflict
16:31 Practical Steps to Work with Your Parts
31:29 Common Questions and Answers
34:27 Final Thoughts and Encouragement
What You'll Learn
- Why you have conflicting voices about your pain (and why that's completely normal)
- How Internal Family Systems helps you understand your internal "family" of parts
- The neuroscience behind why internal conflict amplifies pain signals
- Four practical techniques to work with your parts starting today
- How accessing "Self" can shift your nervous system from threat to safety
- Real patient stories of transformation through parts work
Key Concepts Covered
Internal Family Systems (IFS)
- Protector parts: The voices trying to keep you safe
- Exiled parts: Emotional pain that needs to be seen and healed
- The Critic: The harsh voice that's actually trying to motivate you
- Self: The calm, compassionate center underneath all the parts
The Neuroscience Connection
- Fear avoidance model of chronic pain
- How threat detection amplifies pain (amygdala & anterior cingulate cortex)
- Polyvagal theory and nervous system states
- Heart rate variability and pain regulation
- The bio-psychosocial model of pain
Four Practices You Can Start Today
- Parts Mapping - Notice and name which parts show up during pain
- Get Curious - Interview your parts to understand their positive intentions
- Thank & Reassure - Acknowledge parts for trying to help, then update them
- Unblend - Create distance when a part takes over completely
Research Discussed
- Yoni Ashar's 2022 JAMA Psychiatry study on Pain Reprocessing Therapy
- Tracy et al. (2016) on heart rate variability and chronic pain
- Lumley et al. (2017) on Emotional Awareness and Expression Therapy
- Dr. Stephen Porges' polyvagal theory
Send us a text
This essential pre-roll message serves as a clear disclaimer, stating that the podcast provides pain and trauma-informed psychoeducation for informational and entertainment purposes only, and does not constitute medical advice. Listeners are reminded to always consult a qualified healthcare professional for specific medical conditions or symptoms.
About Dr. Nevo
Read what patients are saying...
LINKS:
- Body and Mind Pain Center
- Mind Body Rehabilitation
- Substack
View all episodes
By Zev Nevo, DOEpisode 23: The Parts That Hurt - When Protection Becomes Pain
Episode Description
Ever feel like you're at war with yourself when dealing with chronic pain? One part of you wants to push through while another screams "stop!" In this episode, Dr. Zev Nevo explores Internal Family Systems (IFS) and how understanding the different "parts" of yourself can transform your pain experience. Learn why these internal conflicts keep your nervous system in threat mode—and what you can do about it.
00:00 Introduction to Chronic Pain and Internal Conflict
01:21 Understanding Internal Family Systems (IFS)
01:39 Real-Life Examples of Internal Conflict
05:03 The Neuroscience Behind Pain and Internal Conflict
16:31 Practical Steps to Work with Your Parts
31:29 Common Questions and Answers
34:27 Final Thoughts and Encouragement
What You'll Learn
- Why you have conflicting voices about your pain (and why that's completely normal)
- How Internal Family Systems helps you understand your internal "family" of parts
- The neuroscience behind why internal conflict amplifies pain signals
- Four practical techniques to work with your parts starting today
- How accessing "Self" can shift your nervous system from threat to safety
- Real patient stories of transformation through parts work
Key Concepts Covered
Internal Family Systems (IFS)
- Protector parts: The voices trying to keep you safe
- Exiled parts: Emotional pain that needs to be seen and healed
- The Critic: The harsh voice that's actually trying to motivate you
- Self: The calm, compassionate center underneath all the parts
The Neuroscience Connection
- Fear avoidance model of chronic pain
- How threat detection amplifies pain (amygdala & anterior cingulate cortex)
- Polyvagal theory and nervous system states
- Heart rate variability and pain regulation
- The bio-psychosocial model of pain
Four Practices You Can Start Today
- Parts Mapping - Notice and name which parts show up during pain
- Get Curious - Interview your parts to understand their positive intentions
- Thank & Reassure - Acknowledge parts for trying to help, then update them
- Unblend - Create distance when a part takes over completely
Research Discussed
- Yoni Ashar's 2022 JAMA Psychiatry study on Pain Reprocessing Therapy
- Tracy et al. (2016) on heart rate variability and chronic pain
- Lumley et al. (2017) on Emotional Awareness and Expression Therapy
- Dr. Stephen Porges' polyvagal theory
Send us a text
This essential pre-roll message serves as a clear disclaimer, stating that the podcast provides pain and trauma-informed psychoeducation for informational and entertainment purposes only, and does not constitute medical advice. Listeners are reminded to always consult a qualified healthcare professional for specific medical conditions or symptoms.
About Dr. Nevo
Read what patients are saying...
LINKS:
- Body and Mind Pain Center
- Mind Body Rehabilitation
- Substack