Chronic Pain: The Physiology and The Psychology

Transcription

1 Chronic Pain: The Physiology and The Psychology Dr. Jim Lemons, Ed.D. The Lemons Center for Behavioral Pain Management The Lemons Center for Behavioral Pain Management College Blvd., Ste. 201 Lenexa, KS (913)

2 Chronic Pain Is An Epidemic 10-30% of Americans have chronic pain $635 billion spent on healthcare annually (More than the yearly cost for cancer, heart disease, and diabetes) 500 million lost work days American Pain Society (APS) estimates 1:4 receive proper care

3 Psychological Effects of Pain: Ripple Effect Pain Thoughts Emotions Behaviors

4 Psychological Effects of Chronic Pain Diagnosis F45.42: Pain disorder with both psychological factors and a general medical condition Pain causes normal emotional responses: Anger Sadness Fear Guilt Each activates physiological stress response delaying healing

5 STRESS affects + SYMPTOMS cause = CHRONIC PAIN

6 Stress Response is Physical Elevated Heart Rate Elevated Blood Pressure Elevated Respiratory Rate Elevated Adrenalin Elevated Blood Sugar Elevated Cholesterol Change in Blood Flow affects STRESS + cause SYMPTOMS = CHRONIC PAIN

7 affects STRESS + SYMPTOMS Causes of Stress All Emotion (+ and ) Change Loss Time Money Family Traffic An Endless List cause = CHRONIC PAIN

8 Symptom Management (The Medical Model) Medication/Surgery/Pr ocedures Diet/Nutrition Exercise Program Physical Therapy Occupational Therapy STRESS affects + SYMPTOMS cause = CHRONIC PAIN

9 affects STRESS + cause = CHRONIC PAIN SYMPTOMS Stress Management (The Behavioral Model) Knowledge & Awareness Relaxation Communication Skills Pacing and Spacing Humor Pleasure Love Diet

10 Stress Response is Physical Elevated Heart Rate Elevated Blood Pressure Elevated Respiratory Rate Elevated Adrenalin Elevated Blood Sugar Elevated Cholesterol Change in Blood Flow affects Symptom Management (The Medical Model) Medication/Surgery/ Procedures Diet/Nutrition Exercise Program Physical Therapy Occupational Therapy STRESS + SYMPTOMS Causes of Stress All Emotion (+ and ) Change Loss Time Money Family Traffic An Endless List cause = CHRONIC PAIN Stress Management (The Behavioral Model) Knowledge & Awareness Relaxation Communication Skills Pacing and Spacing Humor Pleasure Love Diet

11 Resources Brown, K. (2004). Role of the psychologist in pain management. Pain Practitioner, Winter, 14 (3) Burns, D., Disorbio, J., (2005). Chronic pain and biopsychosocial disorders. Practical Pain Management, Nov/Dec., Dworkin, R., Breitbart, W. (Eds.). (2004). Psychosocial aspects of pain: A Handbook for healthcare providers. Washington: IASP Press. Fernandez, E. (2002). Anxiety, Depression, and Anger in Pain: Research Findings and Clinical Options. Advanced Psychological Resources. Turk, D & Burwinkle, T (2004). Treatment of chronic pain sufferers: An antidote to mural dyslexia. The Pain Practitioner, Winter, (14) 3, Turk, D & Gatchel R. (2002). Psychological Approaches to Pain Management: A practitioner's handbook. Guilford Press: New York. Turk, D., Meichenbaum, D., & Genest., M. (1983). Pain and behavioral medicine: A cognitive behavioral perspective. New York: Guilford Press. Thorn, B. (2004). Cognitive therapy for chronic pain. New York: Guilford Press.

12 Relax, Just Relax Dr. Jim