Chronic Pain, Anger & Grief. M. Wesley Buch, Ph. D., R. Psych (#1186) Behavioural Health Care
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2 + Chronic Pain, Anger & Grief M. Wesley Buch, Ph. D., R. Psych (#1186) Behavioural Health Care
3 Dr. Elizabeth Bannerman, Registered Psychologist Dr. Judy Le Page, Registered Psychologist Dr. Wesley Buch, Behavioural Health Care
4 +
5 + What I plan to say Explain why chronic pain, anger & grief go together Explain why emotions matter in chronic pain Describe two major factors that influence pain, anger & grief Introduce an adaptive view of emotions Tips & resources regarding anger & grief Resources for rage & depression Dr. M. Wesley Buch, R. Psych., Behavioural Health Care
6 + Take Home Message Anger that festers Grief unexpressed Makes pain get louder Anger that resolves Grief that flows Makes pain get softer And prevents rage & depression Dr. M. Wesley Buch, R. Psych., Behavioural Health Care
7 + Birds of a Feather
8 + Pain, Anger & Grief - How do they flock together? All are meant to be helpful All forms of communication that may provide important information for decision-making All are normal until they re not: Pain becomes chronic Anger becomes rage Grief becomes depression All can interact with perverse synergy to make each other worse
9 + Who cares about emotions when you have chronic pain? Emotional Distress & Rehabilitation Outcomes
10 + Acceptance vs Change ~ A Major Factor Underlying Anger & Grief ~ A foundational process that highly influences pain, anger & grief How do I know what to accept vs change? Everyone has glass ceilings (limits) Nudge to find out (try an experiment) Pacing is another word for Nudging
11 + Pacing (Nudging Your Tolerances)
12 + Acceptance & Change in ACT It s both for life
13 + Acceptance & Change in DBT Go Dialectical!
14
15 + Sleep ~ A Major Factor Underlying Anger & Grief ~
16 + Sleep Self-Management Skills Building the sleep drive Consistent wake up time Sleep Compression Additional tips: LivePlanBe - Physician review of sleep medication. Referral to Sleep Medicine? Cognitive Behavioural Therapy for Insomnia (CBT-I) Dr. Colleen Carney, WWDPI Webinar (April 26, 2016)
17 + Adaptive View of Emotions All emotions are forms of communication Emotions are meant to help us Protection warning, fight or flight Attachment Make decisions Emotions can become unhelpful Anger becomes rage Grief becomes depression
18 + Emotions are Communications ~ Like a Message in a Bottle ~
19 + Emotions are Communications ~ Like a Message in a Bottle ~
20 + Emotional Communications Belong at the Decision- Making Table
21 + Paingry
22 + Paingry Points People with chronic pain experience greater anger than community samples without pain. Anger arousal is associated with greater pain intensity, muscle tension and interference with function and relationships in time-lagged analyses. The greater anger, the greater consequences. Anger regulation whether expression (anger out) or inhibition (anger in) is associated with greater pain intensity, muscle tension and interference in time-lagged analyses. Uh-oh now what? Best advice: Blowing up at people typically alienates them; doesn t resolve anything Stuffing down merely buries problems; leads to seething anger typically alienates other; doesn t resolve anything; bad for health. Use some anger control but use anger energy to resolve problem Anger as a secondary emotion look for primary emotion
23 + Anger as monster to be controlled Trying to control anger all the time is like
24 + Anger as energy to be used Use anger to energize hope & making a plan for change
25 + Anger that resolves Awareness in body, emotion Name I m mad Validate Of course I m mad Learn What is my anger trying to tell me? Evaluate Is this an accurate & helpful message now? Make a plan to resolve Acceptance vs Change
26 + Chronic Pain & Anger
27 + Anger Management Skills
28 + Chronic Pain & Grief Stage Models (Kubler-Ross)
29 + Chronic Pain & Grief - 2 Permission giving at the edge of tears Fear of losing control & becoming lost in grief Anger at feeling weak, helpless Dismissal because grief feels useless Take the time to grieve Take extra care of yourself Eating, hydration, movement Sleep Connection Spiritual practices (meaningful activities)
30 + Grief that ebbs & flows Awareness in body, emotional experience Masks of melancholy Name I feel sad Validate Of course I miss Learn What is my grief trying to tell me? > basic adult need Evaluate Really? Plan Accept
31 + Chronic Pain, Grief, Loss & Our Search for Meaning At common core is an existential vacuum containing emptiness, vulnerability and exhaustion Grief seeks meaning (Frankl, Man s Search for Meaning ) Meaning is often intertwined with spiritual & religious beliefs & practices Spirituality & Chronic Pain: Finding Meaning in Misery, 2-Part Webinar, LivePlanBe.ca
32 + Wisdom about Grieving A Mindfulness-Based Stress Reduction Workbook for Grief: A Step-by-Step Program to Help You Heal the Pain and Stress of Loss (Dec 25, 2017) By Patrick O. Thornton
33 + One Woman s Grief
34 + When Anger turns into Rage Chronic Pain + Rage =
35 + Chronic Pain + Rage =
36 + When Grief turns into Depression Chronic Pain + Stagnant Grief =
37 + Chronic Pain + Stagnant Grief =
38 + What To I Do With Rage & Depression?
39 + WWDPI Website Webinars Psychological Factors in Pain (Dr. Fedoroff) Positive Coping with Chronic Pain (Dr. Samra) How to Thrive Despite Chronic Pain (Dr. Hassett) Pain-Related Distress (Dr. Pincus) Emotional Roller Coaster of Chronic Pain (Dr. Buch)
40 + PIP Website Webinars Grief & Loss of Living with Pain Conflict of Living with Pain Kara Hawley (UBC Psych Student)
41 + Pain BC LivePlanBe Website
42 + Join a Group
43 + Join a Group Management-Education-and-Support)-Groups
44 + Talk to your local psychologist!
45 + You can be a part of something greater Stay connected
46 + What I have tried to say Explain why chronic pain, anger & grief go together Explain why emotions matter in chronic pain Describe two central factors that influences pain, anger & grief Introduce an adaptive view of emotions Tips & resources regarding anger & grief Resources for rage & depression Dr. M. Wesley Buch, R. Psych., Behavioural Health Care
47 + Take Home Message Anger that festers Grief unexpressed Makes pain get louder Anger that resolves Grief that flows Makes pain get softer And prevents rage & depression Dr. M. Wesley Buch, R. Psych., Behavioural Health Care
48 + Dr. M. Wesley Buch, R. Psych., Behavioural Health Care
49 + Questions? Chronic Pain, Anger & Grief M. Wesley Buch, Ph. D., R. Psych (#1186) Behavioural Health Care
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