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Tag: chronic pain

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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Disrupting The Downward Spiral of Chronic Pain and Opioid Addiction With Mindfulness-oriented Recovery Enhancement: A Review of Clinical Outcomes and Neurocognitive Targets

Abstract Prescription opioid misuse and addiction among chronic pain patients are problems of growing medical and social significance. Chronic pain patients often require intervention to improve their well-being and functioning, and yet, the most commonly available form of pharmacotherapy for chronic pain is centered on opioid analgesics--drugs that have high abuse liability. Consequently, health care and legal systems are often stymied in their attempts to intervene with individuals who suffer…
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Telephone-Delivered CBT for Pain Management among Older Military Veterans

This study investigated the effectiveness of telephone-delivered cognitive-behavioral therapy (T-CBT) in the management of chronic pain with older military veterans enrolled in VA primary-care clinics. We conducted a randomized clinical trial comparing T-CBT with telephone-delivered pain education (T-EDU). A total of 98 military veterans with chronic pain were enrolled in the study and randomized into one of two treatment conditions. Study participants were recruited from primary-care clinics at an urban…
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Physical Therapist-Delivered Cognitive Behavioral Therapy

The importance of the bio-psychosocial model in assessment and management of chronic musculoskeletal conditions is recognized. Physical therapists have been encouraged to develop psychologically informed practice. Little is known about the process of physical therapists' learning and delivering of psychological interventions within the practice context. The aim of this study was to investigate physical therapists' experiences and perspectives of a cognitive-behavioral-informed training and intervention process as part of a randomized…
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Using CBT and Smart Phones for the Self-Management of Chronic Pain

In this age of technology, internet interventions are becoming more common in the practice of Cognitive Behavioral Therapy (CBT).  Chronic Widespread Pain (CWP) causes patients to live in constant pain, as well as fear of that pain, which can lead to avoidant behavior and depression.  Kristjansdottir et al (2011) hope to develop an intervention program that will help patients with CWP to self-manage their pain.  Using CBT with a focus…
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