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Managing Chronic Pain

Chronic pain has a multitude of causes, many of which are not well understood or effectively treated by medical therapies. Individuals with chronic pain often report that pain interferes with their ability to engage in occupational, social, or recreational activities. Their inability to
engage in these everyday activities may contribute to increased isolation, negative mood, and physical deconditioning, which in turn can contribute to their experience of pain.

Cognitive-behavioral therapy (CBT) has been proven effective at managing various chronic pain conditions, including rheumatoid arthritis, osteoarthritis, chronic back pain, and tension/migraine headache. CBT engages patients in an active coping process aimed at changing maladaptive thoughts and
behaviors that can serve to maintain and exacerbate the experience of chronic pain. Managing Chronic Pain, Therapist Guide distills many of these empirically validated techniques into one convenient volume that no clinician can do without. Each session presents the basic methods of a technique,
such as stress management, sleep hygiene, relaxation therapy, and cognitive restructuring.

Designed to be used in conjunction with the corresponding workbook, this therapist guide offers a complete treatment program. It provides session outlines, sample dialogues, and homework assignments for each technique, as well as addresses assessment and relapse. This CBT program can be used for the
successful management of chronic pain, helping patients regain control of their lives.
Product Details

Table of Contents

1. Introductory information for therapists ; 2. The pain evaluation ; 3. Session 1: Education on chronic pain ; 4. Session 2: Theories of pain and diaphragmatic breathing ; 5. Session 3: Progressive muscle relaxation and visual imagery ; 6. Session 4: Automatic thoughts and pain ; 7. Session 5: Cognitive restructuring ; 8. Session 6: Stress management ; 9. Session 7: Time-based pacing ; 10. Session 8: Pleasant activity scheduling ; 11. Session 9: Anger management ; 12. Session 10: Sleep hygiene ; 13. Session 11: Relapse prevention and flare-up planning ; Appendix: Pain interview


About the Author

John D. Otis is Director, Pain Management Psychology Services, VA Boston Healthcare System; Associate Professor Psychology and Psychiatry at Boston University School of Medicine in Chestnut Hill, MA.

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