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Category: Medical Problems

The Road to Freedom: CBT for Chronic Pain and Opioid Use

By Allen R. Miller, PhD, MBA In Part One of this two-part piece focused on CBT for Chronic Pain and Opioid Use, I discussed my past personal reservations about working with clients of this type and the strategies I used to counteract my own related automatic negative thoughts. In this post, I’d like to share the story of a particularly remarkable client who benefited from CBT techniques and the way…
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Difficult Rewards: Chronic Pain and Opioid Use

By Allen R. Miller, PhD, MBA Many therapists tell me that they don’t want to work with clients who have chronic pain, particularly clients who rely on opioids to manage their pain. They cite the complexities of understanding the cases, the attitudes of the clients, and poor outcomes as reasons to avoid working with these cases when there is an abundance of other “easier” cases with which to work. To…
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Intrinsic Motivation

In our work with dieters, we have found that many (if not most) rely very heavily on the scale going down as an external reward for their hard work. They believe that if they were perfect, or close to perfect, on their diets, the scale should go down, if not every day, then certainly every week. This is problematic because the scale simply doesn’t work that way.

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