Martha Teater – Treating Chronic Pain: Proven Behavioral Tools

Description

Handouts

Outline

Finally! Your Top 6 Questions Answered

Question 1: What is Pain?

• Defining pain: Acute vs. chronic

Question 2: What’s the Brain’s Role in Chronic Pain?

• Central sensitization
• How the brain’s pain processing contributes to pain

Question 3: How do Emotions Influence Pain?

• Chronic pain onset
  • Physical
  • Emotional
• Chronic pain cycle
  • Psychological
  • Physical
• Emotions and pain
  • Often more problematic than physical aspect
  • Anxiety, fear, catastrophizing
  • Why mindset matters for pain relief
• Suffering
  • Determined by the emotional aspect of pain
• Suicidality and chronic pain
• Marijuana and pain

Question 4: How does Trauma Contribute to Chronic Pain?

• ACE (Adverse Childhood Experiences) Study and pain

Question 5: How are Special Populations Impacted?

• Veterans
• Children
• Low income population
• Racial and ethnic considerations
• Elderly

Question 6: What is the Role of Opioids in Pain Treatment?

• Scope of the problem
• The “painful” myth
• Medication-assisted recovery
• Risks vs. benefits

10-Session Treatment Model

Session 1: Assessment

• Goals of 1st session
• Diagnostic options
• 5 “E’s” of pain interview
• Self-report measures
  • Central Sensitization Inventory
  • Pain Catastrophizing Scale
  • PHQ-9
• Collaboration with medical team
• Motivational interviewing techniques
• Best questions to ask during treatment

Session 2: Goal Setting

• How to develop appropriate goals
• SMART goals

Session 3 & 4: CBT Tools

• ABC worksheet
• Thought distortions
• De-catastrophizing
• Automatic negative thoughts

Sessions 5 & 6: Mindfulness Interventions

• Breathing
• Guided imagery
• Personal visualization
• Yoga
• Progressive muscle relaxation
• Meditation
• Body scan
• Grounding

Session 7: Increasing Activity Level & Time-based Pacing

• Helping clients learn that movement won’t be damaging
• Increasing ability to accomplish tasks without triggering pain

Session 8: Pleasant Activity Scheduling

• Encouraging clients to infuse pleasure and joy into their daily life

Session 9: Sleep Hygiene

• Help clients develop healthy sleep patterns for improved quality of life

Session 10: Relaxation and Stress Management

• Similarities of stress response and pain response
• Development of stress response tools
• Building a relaxation plan for all areas of life

Additional Treatment Options

• Limitations of the research and associated risks
• Resources

Faculty

Martha Teater, MA, LMFT, LCAS, LPC Related seminars and products: 6

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Martha Teater, MA, LMFT, LCAS, LPC, is a Diplomate with the Academy for Cognitive Therapy and is a practicing cognitive-behavioral therapist. She has maintained a private practice since 1990 and has worked in primary care settings, free clinics, and medication-assisted treatment programs. Martha is a Red Cross disaster mental health manager and has been on many national disaster deployments where she provides support to traumatized people. She is also involved with the Red Cross Service to the Armed Forces to develop programs to support military and veteran families.

She has provided trainings in the United States and internationally on topics such as evidence-based treatments for trauma, DSM-5®, compassion fatigue, and behavioral treatment of chronic pain. A prolific writer, Martha has published over 175 articles in newspapers and magazines, including Psychotherapy Networker and Family Therapy Magazine. Martha is the co-author (with John Ludgate) of Overcoming Compassion Fatigue: A Practical Resilience Workbook (PESI, 2014) and (with Don Teater) Treating Chronic Pain: Pill-Free Approaches to Move People from Hurt to Hope (PESI, 2017).

Speaker Disclosures:

Financial: Martha Teater maintains a private practice. She receives a speaking honorarium from PESI, Inc.

Non-financial: Martha Teater is a Clinical Member of the American Association for Marriage and Family Therapy.