CBT for Chronic Pain and Psychological Well-Being

The first clinical manual of evidence-based CBT skills for managing psychological issues associated with chronic pain, drawn from current approaches such as DBT, ACT, and motivational interviewing. The first skills training manual in the field of chronic pain and mental health disorders to provide an integrated session-by-session outline that is customizable for clinicians Adaptive and evidence-based - integrates skill sets from DBT, ACT, Behavioral Activation, and Motivational Interviewing to address the unique needs of individual chronic pain sufferers Clinicians can import the approach into their work, selecting the most appropriate skills and sessions, or create an entire therapeutic program with the manual as its foundation Includes invaluable measurement and tracking tools for clinicians required to report outcomes

Acknowledgments viii 1 Introduction to Comorbid Mental Health and Chronic Pain 1 2 Treatment Organization, Outline, and Structure of the Program 6 3 Clinical Manual for TAG Program 15 Biological Section 15 Goal setting and motivation 15 Functioning and loss 21 Sleep 26 Emergence and patterns 29 Adherence to treatment protocols 33 Complexity 38 Working with your team 41 Psychological Section 46 Orientation to change 46 Readiness to change 50 Depression 54 Anxiety 59 First step toward change 64 Anger management 69 Attending to distress 73 Meaning and pain 79 Stress management 83 Defense mechanisms and coping styles 87 Stigma 91 Chemical abuse 96 Lifespan issues 101 Managing fl are-ups 104 Social Section 108 Managing confl ict 108 The 3 Is 112 Problem-solving 116 Nurturing support systems 120 Social roles in relationships 124 Intimacy 129 Styles of interacting 132 4 Handouts and Homework 136 Master Skills Sheet 223 Appendix – Safety Contract 230 References 231 Index 234