By Carrie Winterowd PhD, Aaron T. Beck MD, Daniel Gruener MD
This handbook starts with an creation to persistent, nonmalignant discomfort therapy and a few of the most ache theories, in addition to ways to soreness administration . The middle of the booklet delineates the applying of Beck's cognitive treatment evaluate and intervention suggestions with this buyer inhabitants, and provides an easy-to-follow established procedure. The booklet presents case examples and therapist-patient dialogues to illustrate cognitive treatment in motion and illustrate how one can enhance collaborative efforts among practitioners and sufferers.
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Extra info for Cognitive Therapy with Chronic Pain Patients
Sometimes we attend to them, and sometimes we don't. Here is another analogy therapists can use to explain automatic thoughts: Therapist: Imagine that we are commentators on our experiences, just like sports commentators on television as they announce to us the various happenings during a sporting event. We are always trying to make sense of our experiences moment to moment. But if we were always aware of every thought we had, we might go into overload mode. Therefore, we have probably been wired to attend to our thoughts only at certain times, as part of our survival and coping.
3 low 4. . ©. 6 7 high 4 7 high 5 6 Personality Organization (sociotropic vs. autonomous) Keisha prides herself on being very autonomous. 1(continued) in increased distress. Her chronic pain has affected her work behavior. Her need to appear competent has prevented her from getting support from others. She also had a high need for affiliation and social support. She is afraid of being rejected if people find out about her pain and her depressed mood (high in both autonomy and sociotrophy).
She wants to deal with her problems as quickly as possible. Goals: 1. learn pain management skills 2. learn how to cope with her depression 3. learn how to keep up with her work responsibilities Therapist's Goals 1. , deep breathing, muscle relaxation, guided imagery; identify, evaluate, and modify thoughts and beliefs about pain). 2. ). 3. Learn to pace work activities and set realistic work goals. Explore to what extent carpal tunnel will interfere with work. 4. Seek reasonable accommodations in the work setting if possible.