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Pain Psychology Program Providers Physical Medicine Benjamin A. Tallman, PhD The following questions involve topics Health Psychologist and Rehabilitation addressed in the Pain Psychology Program. Specialties: Rehabilitation Please take some time to consider how you Pain Psychology Program might answer each one. Psychology, Health Psychology, Pain Psychology “Take Control of your Pain” How has your life been impacted by Education: University of Iowa, Counseling pain? Psychology Program Teresa A. Young, PhD Health Psychologist Specialties: Health Psychology, If your pain was managed better how would your life be different? Pain Psychology Education: Tennessee State University, Counseling Psychology Program Is it time for you to make a change? We look forward to the opportunity to help you manage your pain and get your life back on track. - Dr. Tallman & Dr. Young For more information: Talk to your provider about the Pain Psychology Program and request a referral on your behalf. What does psychology Pain Psychology Why is it for me? have to do with my pain? Treatments The Pain Psychology Program may be a good • Pain and stress go hand in hand All patients referred to the Pain Psychology fit if: Program attend the “Pain Empowerment and • Pain is impacted by your feelings, • You are tired of suffering, and you are Education Group.” During this 2-hour group, thoughts, and actions ready to take back control of your pain participants will: • Overwhelming thoughts and feelings • You have been diagnosed with chronic • Complete self-assessments to better can have a negative effect on your pain or another pain condition (e.g., understand how pain impacts physical ability to cope with pain fibromyalgia, complex regional pain and psychological well-being syndrome, musculoskeletal pain, • Pain psychology empowers you to take • Develop a more holistic understanding of neuropathic pain, etc.) control of your pain factors that influence the perception of • You are interested in learning to use non- pain medication approaches to manage pain • Begin to develop new ways of thinking in support to your current treatment plan Biopsychosocial Model about and responding to pain • You see the importance of managing your pain, and you are motivated to try of Pain • Learn to use self-regulation techniques to better manage pain something new Upon completion of the group, patients will • You want to increase activity level and improve your quality of life 1) be eligible to enroll in the Pain Psychology Biological Psychological Program and/or 2) be referred to other Sleep Attitudes/beliefs healthcare providers (e.g., physical therapy, Illness Personality registered dietitian, or other services). Genetics Behaviors Feelings Treatment approaches in the Pain Psychology Medication Thoughts Stress Learning/ Program include: memory Social • Cognitive-Behavioral Group Therapy Friends (CBT) for Pain Culture Socioeconomic Status • Acceptance and Commitment Group Disability Therapy (ACT) for pain Religion/Spirituality • Monthly Pain Psychology Support Group • Individual Pain Psychotherapy .

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Amir Ramezani, Ph.D
Amir Ramezani, Ph.D. Philosophy of Care I believe everyone person has a leader within and can reach their full potential with careful, thoughtful, and kind guidance. Education, clinical teaching, and humane understanding are critical ingredient in helping a person to grow. Clinical Interests Dr. Amir Ramezani is a teaching faculty member at UC Davis, providing training in the areas of assessments and interventions for individuals living with psychological and neurological injuries, traumas, and chronic conditions. Dr. Amir Ramezani has been involved in multiple leadership roles, including acting as the former Training Director of the UC Davis Neuropsychology and Health Psychology Training Program, former Chair of the SVPA Behavioral Medicine and Neuropsychology Section, and former President of the Western Association for Neuroscience and Biofeedback. Please note that Dr. Amir Ramezani does not provide clinical care to patients at UC Davis, rather has a private clinical and forensic practice. Dr. Amir Ramezani's clinical training includes completing a fellowship in Neuropsychology at UCLA, a fellowship focusing in pain psychology at UCSF, and a dual PhD in Clinical Health Psychology and Behavioral Medicine at UNT. He has received various assessment trainings (e.g., neurocognitive, psychological, presurgical, forensic, geriatric). He has undergone multiple intervention trainings including CBT, MI, EMDR, neurofeedback, and biofeedback as well as formal mindfulness teacher training in Mindfulness Self-Compassion (MSC; Trained MSC Teacher) and Mindfulness-Based Cognitive Therapy (MBCT). Research/Academic Interests Dr. Amir Ramezani finds joy in teaching trainees and professionals. He is actively involved in conducting professional trainings. His research interests and publications include the management of chronic conditions, neurological, and psychological wellness/injuries/trauma, integrative psychotherapy, and teaching methods.
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EDUCATION & TRAINING SECTION Pain Psychology
Pain Medicine 2016; 17: 250–263 doi: 10.1093/pm/pnv095 EDUCATION & TRAINING SECTION Original Research Article Pain Psychology: A Global Needs Assessment and National Call to Action Beth D. Darnall, PhD,*,a Judith Scheman, PhD,†,a Design. Prospective, observational, cross-sectional. Sara Davin, PhD,†,b John W. Burns, PhD,‡,b §,b ¶,b Jennifer L. Murphy, PhD, Anna C. Wilson, PhD, Methods. Brief surveys were administered online to Robert D. Kerns, PhD,k and ,a six stakeholder groups (psychologists/therapists, Sean C. Mackey, MD, PhD,* individuals with chronic pain, pain physicians, pri- mary care physicians/physician assistants, nurse *Stanford University School of Medicine, Department practitioners, and the directors of graduate and of Anesthesiology, Perioperative and Pain Medicine, postgraduate psychology training programs). Division of Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Palo Alto, Results. 1,991 responses were received. Results California; †Center for Neurological Restoration, revealed low confidence and low perceived compe- Cleveland Clinic, Cleveland, Ohio; ‡Department of tency to address physical pain among psycholo- gists/therapists, and high levels of interest and need Behavioral Sciences, Rush University, Chicago, for pain education. We found broad support for pain Illinois; §Chronic Pain Rehabilitation Program, James ¶ psychology across stakeholder groups, and global A. Haley Veterans’ Hospital, Tampa, Florida; Institute support for a national initiative to increase pain train- on Development & Disability, IDD Division of ing and competency in U.S. therapists. Among dir- Psychology, Oregon Health & Science University; ectors of graduate and postgraduate psychology kPain Research, Informatics, Multi-Morbidities and training programs, we found unanimous interest for Education (PRIME) Center, VA Connecticut a no-cost pain psychology curriculum that could be Healthcare System, Departments of Psychiatry, integrated into existing programs.
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A Preliminary Test of Acceptance and Commitment Therapy
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Guidelines for Pain Management Programmes for Adults an Evidence-Based Review Prepared on Behalf of the British Pain Society
The British Pain Society Guidelines for Pain Management Programmes for adults An evidence-based review prepared on behalf of the British Pain Society November 2013 To be reviewed October 2018 2 The British Pain Society Published by: The British Pain Society 3rd floor Churchill House 35 Red Lion Square London WC1R 4SG Website: www.britishpainsociety.org ISBN: 978-0-9561386-4-4 © The British Pain Society 2013 Guidelines for Pain Management Programmes for adults 3 Contents Page Foreword 5 Definitions and approach to evidence 6 1. Executive summary 8 2. Background 10 3. PMPs: aims, methods, delivery and outcomes 12 4. Assisting retention and return to work in PMPs 19 5. Referral and selection 22 6. Resources 25 7. References 31 Membership of the group and expert contributors 37 4 The British Pain Society Guidelines for Pain Management Programmes for adults 5 Foreword In 1997, the Pain Society (now the British Pain Society) published Desirable Criteria for Pain Management Programmes. This was a response to the perceived need for information and guidance for those involved in developing and running such biopsychosocial interventions. This third revision aims to provide updated guidance on what constitutes a pain management programme (PMP), its position within care pathways for people with chronic (non-cancer) pain and desirable content. A key evolution of the document is to apply current standards of evidence-based practice to the guidelines by applying a rigorous, explicit approach. The document complements other British Pain Society initiatives such as the Map of Medicine and Pain Patients Pathway which helps to define care pathways as a whole.
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A Pain Psychology Primer for Physicians Christa Coleman, Psyd, BCB* Clinical Psychologist
A pAIn psyCholoGy prImer for physICIAns Christa Coleman, PsyD, BCB* Clinical Psychologist LG Health Physicians Neuropsychology Editor’s Note: This article complements the one about evaluations were used to select appropriate patients for non-opioid treatment of back pain in our Winter 2016 issue by surgery vs. conservative care, resulting in savings of $859 Dr. Tony Ton-That, medical director of the Spine and Low Back million in one year, and shorter periods of disability.4 Pain Program at LGH.1 That article focused on the many effec- The American Hospital Association found that tive modalities of physical therapy for back pain, and pointed among individuals with medical conditions, comorbid out the importance of addressing its psychological and social psychological disorders are associated with increased aspects, without providing specific recommendations. This health care utilization and readmissions, decreased article provides a detailed and comprehensive discussion of that adherence to treatment, and lost productivity.5 Despite crucial aspect of pain management. the dichotomy between biomedical and psychosocial treatments in how health care is provided and covered THE Problem OF PAIN by insurance, pain is both a sensory and an emotional Chronic pain comes with a great cost to individuals experience, and it requires interdisciplinary treatment. and society. In the United States alone, the Institute of Chronic pain commonly has comorbidities such as Medicine estimates that 100 million adults are affected depression, anxiety, PTSD, sleep disorders, alcohol use by chronic pain, at an estimated cost of up to $635 billion disorders, and/or opioid misuse. annually.2 Over the past decade, both the rates of pre- In addition, the way a person thinks about pain can scribing opioid medication, and the amount prescribed, impact how they react to it.
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Pain Science for Patients with Chronic Pain
Pain Science for Patients with Chronic Pain Psychology is built into the definition of pain (IASP definition of pain is that it is a negative sensory and emotional experience). Pain is a product of the nervous system, regardless of where it is felt in the body. The regions of the brain that process pain also process anxiety, fear, and emotions related to depression (e.g., sadness). Pain, anxiety and depression frequently co-occur. Treatment for one factor helps reduce the other factors, as well. Pain triggers “hard-wired” physiological and psychological responses that, over time, lead to lasting changes in the brain and body-- changes that prime you to have more pain. Everyday thoughts and feelings can impact pain. Negative thoughts and feeling serve to amplify pain whereas calming thoughts keep pain better controlled. Pain isn’t something that just happens to you. Everyday experiences will contribute to pain intensity (e.g., stress, sleep quality, activity, worrying about pain). Through use of active skills (learned in pain psychology or behavioral medicine treatment) you can begin reducing these lasting negative changes in brain and body caused by chronic pain. The relaxation response triggers a physiological cascade that actually counteracts pain responses. These skills should be used daily to retrain mind and body away from pain. Avoiding activity out of fear of pain can actually lead to greater pain over time. You can partner with a therapist or physical therapy specialist to slowly begin restoring a degree of movement and function. By learning and using pain psychology skills, you will improve your response to medical treatments, including medications, procedures and surgery.
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Facing and Dealing with the Challenge of Involuntary Childlessness : an Interpretative Phenomenological Analysis
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Pain Management: a Psychological Perspective Dr
Pain Management: A Psychological Perspective Dr. Jenna Buth-Croes, PsyD LP Pain Psychologist Park Nicollet Health Services-Pain Clinic “Pain is inevitable. Suffering is optional.” Haruki Murakami Agenda Disclosures Objectives Pain Psychology Mental Health Substance Use Disorder Treatments Tips/Challenges Case References Disclosures Objectives Pain Psych Mental Health SUD Treatments Tips/Challenges Case References Disclosures • Dr. Buth-Croes indicated no potential conflict of interest to this presentation. She does not intend to discuss any unapproved/investigative use of a commercial product/device. Disclosures Objectives Pain Psych Mental Health SUD Treatments Tips/Challenges Case References Objectives • Describe the role of pain psychology • Identify psychological considerations for pain management • Awareness of psychological treatment options and resources to help chronic pain patients Disclosures Objectives Pain Psych Mental Health SUD Treatments Tips/Challenges Case References What is Pain Psychology? • The pain is REAL • Pain is both a sensory and emotional experience • Pain Psychology • learn techniques to better regulate sensory experience • looking at how our thoughts and emotions influence our daily choices and behaviors which in turn also impacts pain. • Helpful question: Why do you think this pain is persisting? Disclosures Objectives Pain Psych Mental Health SUD Treatments Tips/Challenges Case References What psychological comorbidity is the most common with chronic pain? • A) Anxiety • B) Depression • C) PTSD • D) Somatic
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Pain: Psychological Perspectives 1 Thomas Hadjistavropoulos and Kenneth D
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Multidisciplinary Pain Care: Physician, Physical Therapy, Psychology
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