Download Managing Chronic Pain: A Cognitive-Behavioral Therapy by John Otis PDF

By John Otis

Continual discomfort has a large number of factors, a lot of which aren't good understood or successfully taken care of by way of scientific remedies. people with power ache frequently document that ache interferes with their skill to interact in occupational, social, or leisure actions. victims' lack of ability to interact in those daily actions may perhaps give a contribution to elevated isolation, detrimental temper and actual deconditioning, which in flip can give a contribution to their event of pain.

Cognitive-behavioral remedy (CBT) has been confirmed potent at coping with a variety of continual soreness stipulations, together with rheumatoid arthritis, osteoarthritis, persistent again ache, and tension/migraine headache. The CBT therapy engages sufferers in an energetic coping procedure aimed toward altering maladaptive suggestions and behaviors which could serve to keep up and exacerbate the adventure of power soreness. Overcoming power ache, Therapist Guide instills all of those empirically established remedies into one entire, handy quantity that no clinician can do with out. by means of offering the fundamental, proven-effective CBT tools utilized in each one remedy, resembling rigidity administration, sleep hygiene, leisure treatment and cognitive restructuring, this consultant can be utilized to regard all power discomfort stipulations with success.

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Extra resources for Managing Chronic Pain: A Cognitive-Behavioral Therapy Approach Workbook (Treatments That Work)

Sample text

However, when pain is chronic, this response can cause problems by increasing muscle tension over the long run. Anger, anxiety, frustration, and stress can also increase muscle tension. Increased muscle tension can make chronic pain worse, as well as lead to feeling fatigued and impatient. Common places to hold tension include the neck, shoulders, and back; however, most of us are not aware of when these muscles are tense. The purpose of progressive muscle relaxation (PMR) is to help you to develop an awareness of when your muscles are becoming tense and learn to relax them before the tension becomes great.

Negative thoughts/emotions cause the gate to open so that more pain information gets to the brain, while positive thoughts/emotions cause the gate to close and result in less pain. You may have noticed a relationship between your emotions and your pain. For example, when you’re angry or frustrated pain seems to get worse, but when you’re happy or busy enjoying yourself you feel less pain or don’t even notice pain. Cognitive Errors We have learned that emotions can affect pain, and emotions are caused by how we think.

Feel the tension building in your foot and hold it for three seconds. 3. Take a deep breath. 4. As you exhale, say the word “relax” and release the tension slowly, paying close attention to the different sensations. Perform this twice and repeat with the other foot. Relaxation of the Calves 1. Contract the calf muscle by lifting the heel of your foot. 2. Feel the tension build and hold it for three seconds. 22 3. Take a deep breath. 4. As you exhale, say the word “relax” and release the tension gradually by letting your heel return to the floor.

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