therapy

The Benefits Of Talk Therapy If You Have Chronic Pain

/ Thomas Cohn, MD

talk therapyPain is more than just a physical concept. There are also significant mental and emotional aspects of chronic pain that need to be managed correctly if you’re going to treat the totality of the problem. One such way to address the mental and emotional strife that your chronic pain condition is causing is through what’s known as “talk therapy.”

There are a few different types of talk therapy techniques, but the most common technique used in a chronic pain setting is known as cognitive behavioral therapy. In cognitive behavioral therapy, a trained therapist works with a patient to explore some psychological adaptations to help them overcome some of the obstacles created by their chronic pain condition. Some of the mental conditions that CBT can help to address include:

  • Anxiety
  • Depression
  • Insomnia
  • PTSD
  • Stress

All of these factors can intensify your physical chronic pain symptoms and make the condition harder to control if you aren’t also focused on managing these mental aspects.

How Talk Therapy Works

Many people are a little reluctant to jump right into a talk therapy technique when their chronic pain specialist recommends meeting with a psychologist. In fact, some people think that this recommendation means that their physician believes that the patient’s pain is all in their head and not actually real. This couldn’t be further from the truth. A referral to a psychologist doesn’t mean that we don’t believe your pain is real, it means that your pain is multi-faceted and you’ll get the greatest benefit by effectively managing the physical and mental aspects of the condition.

Cognitive behavior therapy gives the patient a chance to talk about a variety of aspects related to their chronic pain condition, and the process is very goal-orientated in nature. Oftentimes throughout a session, patients and providers will work to develop small attainable goals or productive lifestyle tweaks to help treat some of the different aspects of your chronic pain condition. For some patients these goals may be as simple as exercising more throughout the week, while for others a goal may be to stop and perform some breathing exercises when you notice that stress is building up. This process helps to change your mindset, and that can go a long way in overcoming pain.

For example, much of talk therapy focuses on reframing how you think about chronic pain. You may not be able to control all aspects of your chronic pain condition, but if you focus on managing the controllable aspects and find new ways to problem solve along the way, you can greatly offload some of the burden of chronic pain.

Talk therapy not only helps patients undercover some of the not-so-obvious ways that chronic pain is affecting their mental and emotional health, but it also helps them develop some helpful treatment strategies that a physical pain specialist may not be as versed in treating. Pain management is oftentimes involves a community approach in order to treat all sides of the issue, so don’t be afraid to lean on multiple specialists in order to help address your chronic pain problem

For more information about talk therapy or finding a trustworthy CBT specialist near you, reach out to Dr. Cohn and his team today at (952) 738-4580.

Targeting The Brain With Therapy, Not Pills, Could Help Eliminate Chronic Pain

/ Thomas Cohn, MD

prt brain therapyChronic pain conditions tend to be extremely complex, which is why successful treatments are often so difficult to find. Some providers know that certain medications can help to drown out some symptoms, but opioids don’t really treat the underlying issue. According to new research out of Colorado, targeting the brain with psychological therapy could be much more successful at treating the root cause of a number of chronic pain conditions.

The Psychological Side Of Pain

Chronic pain is typically caused by how the brain interprets neurons and other signals from the body, so it stands to reason that our focus should be on working to change how our brain understands the signals it’s being sent. That’s obviously easier said than done, but according to researchers at the Intermountain Neuroimaging Consortium on the CU Bolder campus, it can be done.

For the study, lead author Yoni Ashar, who conducted the study while earning his PhD in the Department of Psychology and Neuroscience at CU Boulder, and team recruited 151 men and women who had back pain for at least six months at an intensity level of at least four on a scale of zero to 10. Participants were divided into three groups, with the treatment group receiving eight one-hour sessions of Pain Reprocessing Therapy (PRT), a technique developed by Los Angeles-based pain psychologist Alan Gordon.

The goal of PRT is to educate the patient about the role their brain has in generating chronic pain, to help them reappraise their pain as they engage in movements that they’ve been afraid to perform, and to help address emotions that can exacerbate their pain. For example, if a person always has pain when they sit down, they’ll be asked to perform the action slowly, pay attention to how it really feels and to acknowledge the action of sitting as being a safe on. They are also asked to pay attention to when pain develops in other parts of their day, because it could be stress or activity induced.

Finding A Solution To Pain

Study senior author Tor Wager said that while pain may be caused by your brain, it doesn’t mean that it’s something the brain is making up.

“This isn’t suggesting that your pain is not real or that it’s ‘all in your head’,” stressed Wager, a former professor in CU Boulder’s Institute of Cognitive Science, now at Dartmouth College. “What it means is that if the causes are in the brain, the solutions may be there, too.”

According to researchers, 66 percent of patients in the treatment group were pain-free or nearly pain free at the end of treatment, compared to 20 percent of the treatment group and 10 percent of the no-treatment group. However, they also noted that this type of treatment should only be considered for pain that’s being caused by a brain misinterpretation, not pain that is rooted in an acute injury or disease with a clear pain pathway.

We’ll keep tabs on this technique, but the idea is there. If the cause is in the brain, a solution can be found there too. If you need help overcoming your chronic pain condition, reach out to Dr. Cohn and his team today.