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Martha Teater – Behavioral Treatment of Chronic Pain, Evidence-Based Techniques to Move People from Hurt to Hope
We are in the midst of a nationwide push to treat chronic pain and address our out of control opioid prescribing. At least 1/3 of the people we treat are dealing with this condition, yet most of us are ill-prepared to address this with skill and expertise. The CDC recently published recommendations for the treatment of chronic pain, specifically highlighting behavioral treatment as an approach that should be tried before opioids are prescribed.
We are witnessing a devastating public health crisis that is ruining individual’s lives, tearing up families, and ripping through communities. We need to arm ourselves with the skills needed to offer our clients evidence-based behavioral interventions that will help them live healthy and productive lives.
Watch this interactive and cutting-edge training and learn creative tools and techniques to transform your practice. Learn powerful mindfulness interventions and motivational interviewing techniques to move your clients towards behavior change. Master the four pain-changing CBT tools. You will leave with the skills and confidence to provide practical and life-changing help to help people move out of chronic pain and into active, healthy, and meaningful lives.
Describe how the emotional aspect of client’s pain can be more problematic than the physical aspect.
Specify the differences in risks of opioid medications use in men, women and the elderly and the related treatment implications.
Assess the psychological, physical, social, and behavioral factors that contribute to chronic pain and articulate their treatment implications.
Implement motivational interviewing techniques to motivate clients towards behavior change that reduce the symptoms of chronic pain.
Summarize the CDC recommendations for the treatment of chronic pain and communicate how that impacts clinical treatment.
Utilize mindfulness based strategies to decrease symptoms of chronic pain in clients.
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Pain
Acute vs. chronic pain
Emotional aspect of pain
More problematic than physical aspect
Anxiety, fear, catastrophizing
ACE (Adverse Childhood Experiences)
Study and link to pain
Chronic pain onset: Physical & emotional
Pain vs. suffering
Impact of pain
Prevalence
Societal costs
Chronic pain cycle
Psychological
Physical
Factors that impact pain
Physical, thought, emotions, behaviors
Social interactions
Suicidality and chronic pain
Opioids
Scope of the problem
The “painkiller” myth
Not effective pain relief
Medication assisted treatment
Methadone
Buprenorphine (Suboxone)
Naltrexone injection (Vivitrol)
Risks
Men, women, elderly
Assessment
Pain experience factors
Psychological
Behavioral
Social
Physical
5 E’s of pain interview
Self-report measures
Impact of pain
Treatment
Treatment options
Medication
Invasive
Non-invasive
CDC guidelines
Behavioral treatment first
Importance of therapeutic relationship
Mindfulness
Powerful evidence-based interventions
Motivational Interviewing
Proven techniques to move toward behavior change
Goal-setting
SMART goals
Matching goals with client values
CBT tools
Automatic negative thoughts
Thought distortions
ABC worksheet
Decatastrophizing
Additional behavioral treatment tools
Breathing
Imagery
Pleasant activities
Progressive muscle relaxation
Anger management
Time-based pacing
Stress management
Sleep hygiene
Research limitations and risks of psychotherapeutic approaches
