What does reconceptualization of pain involve?
How could the therapist proceed if the patient feels completion of a pain assessment is aversive or a waste of his/her time?
What is an example of how the therapist might discuss the cycle of chronic pain with the patient/client?
What goals might you discuss with your patient/client to divert their focus away from their pain?
Why does Kinesiophobia, or fear of movement, make pain worse over time?
What might you reply when your patient/client in pain states, “I’ve tried to relax before but I just can’t”?
A. Discuss with patient/client any thoughts or concerns they may have about completing the assessment measures; brainstorm ideas regarding how to overcome any potential barriers to completing measures; provide a rationale for the measures.
B. Helping the patient move from a view of pain as purely sensory/biomedical to more multidimensional.
C. What is something specific that you would like to see change in your life over the next few months? What would you like to be able to do (do better, do more of, etc.)? Are there relationships that you would like to improve? If CBT-CP worked, how would your life be different?
D. Think of yourself like a machine. All the gears work together to keep your body going. When you are not in pain life tends to be easier, you feel good and it’s easier to get things done. When you have chronic pain, it’s like having a bad gear that doesn’t go away. It disrupts all the other gears and slows down the whole machine. Over time, it can bring the entire machine to a stop.
E. Those who have the most trouble with adopting relaxation skills are typically the individuals who need it the most. It is a skill that takes practice to acquire. The time it takes to train the body to respond differently to stress and tension is a worthwhile investment.
F. Inactivity causes problems like decreased flexibility and stamina, increased weakness and fatigue, and spasms from tight muscles that lead to increased risk of injury, weight gain, and feelings of sadness, frustration, or boredom.