During this presentation, the development of chronic pain syndromes and some practical interventions will be discussed. Specifically, assessing patient's current functioning within a "whole-person approach" will allow clinicians better information about where to begin assisting with change. While using the "evidence-based treatments" as a starting point, finding ways to tailor the intervention to the individual will be reviewed. We will honor the long-history of hypnosis being used to treat chronic pain. Finally, we will review outcome research indicating what seems to make the most effect for patients with pain.
Chronic pain is frequently encountered by healthcare professionals. The current treatment is primarily pharmaceutical intervention with Opioids or NSAIDS that create new problems and address a limited part of the pain. Pain, whether physical or mental/emotional, tends to be experienced as one. Anticipated pain and memories of past painful incidents also contribute to the experience of pain.
Milton H. Erickson was a pioneer in understanding and managing chronic pain, even in his own life. He developed a variety of original and very effective hypnotic approaches to deal with pain. Acute pain is different from chronic pain, as recent research shows. The persistent of pain causes changes that permanently alter various areas in the brain and their communications. Chronic pain does not respond well to typical acute pain treatments and should be approached differently, with a more global and integrated approach.
BT12 Workshop 20 – The Treatment Interface of Chronic Pain and Substance Dependency – Roxanna Erickson-Klein, PhD and Mary Ellen Bluntzer, MD
This workshop offers medical and psychotherapy professionals an approach for the management of chronic pain conditions. Specifically intended for work with patients at risk for medication dependence techniques are taught that involve self-assessment and active participation, both integral to the healing process. The use of creative imagination and hypnotic strategies offer opportunities for the subjective perceptual alterations, which can be used in the adaptation to chronic discomfort.
BT12 Short Course 06 – Neuromuscular Awareness: A Mind-Body Method to Treat Patients with Chronic Pain – Anja Ferrari-Malik, MD
Neuromuscular awareness is a method which focuses on the discovery and development of the skill to perceive one’s own internal bodily sensations and to act upon this awareness to reduce pain. The ability to recognize small bodily changes helps the client to create a new pathway in mind-body connection.
It is common to see clients who present with complex arrays of symptoms. These symptoms can be persistent or "mutate" unexpectedly, leaving patient and therapist feeling confused, frustrated and helpless. In this presentation, we will see how states of unresolved stress and trauma can be the underlying force that drives multiple elusive symptoms. These include panic, depression, insomnia, migraines, severe PMS, chronic pain, fibromyalgia and chronic fatigue.
This short course presents brief interventions designed to address and remove common barriers to successful treatment of pain conditions. Topics include: ways to reverse and regulate the emotional and physical impact of traumatic experiences; the necessity of medicine for the mind as well as the body; how to utilize the polyvagal nervous system in planning treatment strategy; how to help pain patients create healing connections with self, other and the divine; and how to teach people in pain to build on success. This session will include live demonstration and experiential practicum. Case consultation is welcome.
Dr. Beck will provide a perspective on the evolution and the place of cognitive therapy today. He will compare standard cognitive therapy to newer developments in theory and therapy such as mindfulness, attention focus, and positive psychology. Dr. Beck also will discuss the role of cognitive approaches to conflict and suffering.
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