Not the Same Old CBT New Cognitive Behavioral Approaches in Pain
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- Опубликовано: 8 июл 2019
- David Williams, PhD
Professor, Anesthesiology, Medicine, Psychiatry, Psychology
Associate Director, Chronic Pain and Fatigue Research Center
University of Michigan 
Хобби
Section 2: Ball Strecher
Section 3: Parachute
I was in a accident in the Army and I have had chronic pain since 1998. The VA only gave me narcotics and I continued to work until 2017. From 2017-2019 I had 9 more operations. I am only alive today because of how it would effect my children. It is so hard to get myself in a mental state to where I go around everyone. I have a routine where I go in my computer room and listen to music, take my medications I get from my pain clinic. They are a mixture of things and only one is a low dose narcotic. I work on getting myself motivated, putting on my mask to face the world. I am busted up from the neck down to my feet, and the pain gets worse every year, and with weather changes. Some days I just can't take it anymore. I just want to shut it off and not do it anymore. I can take pain. I was in the Army, I wrestles and played football in school. I would play injured. I used to work when I used to have to step out back to regain my composure and then come back inside and continue. I am just maxed out and some days there is no amount of medication that will ease the pain. I don't remember what it is like to not be in pain. I am set up with the VA to start this CBT for pain. I got set up with it through my counselor through my counselor at the VA. I am going to go at it 100%. I figure if it helps some, that will be great. I have a strong mind, so maybe it will help. I once wrestled a whole season with a broken foot.
You gave up your health for my freedom and I'm very grateful.
This is the very best presentation on chronic pain I have encountered. Thank you very much.
I genuinely feel sorry for you if this is the best presentation on chronic pain that you have encountered.
Incredibly helpful video! My doctor just referred me for this & at first I thought he didn't believe me that my pain was real. After watching this I totally get it and I'm grateful for understanding what I'm signed up for!! Now I'm looking forward to it and believe there is a lot more I can do to manage my chronic arthritis (back) pain than I ever imagined. Thanks for the super helpful video!
Did it work?
This is not an incredibly helpful video. If your doctor referred you to some type of psychotherapy then they don't believe that your pain is real. There is no evidence that proves that chronic pain can be treated with any type of talk therapy. Has your arthritis pain improved in the two years since you made this comment?
Opiate Medication is needed and valuable. You have never experienced chronic pain. Drs. treat chronic pain patients like street trash. Start giving them some training in being heartless. You sir, have no clue.
The doctor has the luxury of being able to function so he doesnt appreciate how debilitating pain is. I find as a patient, its insulting for doctors to refer and re refer to mental health. What creates mental illness is the cognitive dissonance that forms in the mind of the patient, who is desperate, but told that she cant possibly be as desperate as she is stating.
They had to come up with something that made them appear to be the authority. Yes. I know the benefits of lifestyle modification are huge. Ive done countless guided imagery, meditation, yoga...yet severe pain persists, and people need narcotic options at times.
You do not have to accept their experience over your own.
THAT is an unwelcome attitude which persists in the doctor/patient relationship. I wish everyone in pain peace to the highest degree possible today.
Exactly we have a lot to help chronic pain management!!!!!! I always take pain killers and saves my life to some extent
Excellent information thank you!!
No, the information is this talk is horrible.
How much research has been done on micro plastic and nano plastic chemicals leaching into our bodies, and causing disruption to our biological chemical system in our bodies leading to these chronic pain symptoms? We do consume lots of harmful bits of plastic, it is in our bloodstream, organs, connecting tissues. Use some electron microscopy to find the fibers in the human cadavers. Also how much research has been done on the long term exposure to all the chemicals used in the production of our foods and how that effects our mental and physical health? 😊
Micro plastics and nano plastic chemical do not lead to chronic pain. I don't know what you're on about. Usually chronic pain is caused by damage to the central nervous system.
Thanks for sharing 🌱☘️🍀🍁🍀☘️🍀🍀☘️☘️🍀🍀
As a health psychologist myself AND a chronic pain sufferer, I don't understand why this need to push psychological therapies for really bad cases of pain. I've never seen a correlation of my emotional state with my pain levels, and that's also the case for pretty much everyone I've ever met with SEVERE chronic pain. Psychotherapy, of course, has never worked, not even the most specific CBT imaginable.
Guys, psychology is great for mental issues, but IT DOESN'T WORK FOR CHRONIC PAIN. Stop pushing it, I know the job market is tough and we need to look like we're necessary, but not at the expense of fooling everyone. Enough is enough.
Drugs and neurostimulation techniques, that's all that works, and research on these fields is what will help us all, not this crap. And physical therapy for mild or moderate cases of very specific types of pain. Dietary interventions to a mild degree are helpful too.
Man, you are right on the money. I coukd kiss your feet for saying what I feel.
I wish I could contact you.
@@bobobrien8968 you can through private message, but you would probably need to use the computer, the app doesn't allow it. I check the PC from time to time, but not often though.
Anyway, there's not much I can tell you, unfortunately. I relate to your suffering because mine left me bedridden and disabled, and these psychology quacks make me feel insulted every single time. I'm just hoping that NaV channel blockers like VX-548 and others come to fruition soon, that would be incredible news for all of us with unbearable pain.
@bobobrien8968 Oh me too!! Kiss her feet I mean! Lol. When I listened to this talk I got riddled with anxiety. I'm starting CBT for pain next week and I thought OMG they're trying to take away my pain meds! Ive been in therapy for fibro for close to 7 years so I know the field I've been playing on. Nothing takes some if the pain away like my painkillers. I don't want to be on them but that's the only way I can have just a little bit of joy
You can’t pace if your job is highly competitive and timing is essential
Very interesting. But! As a chronic pain patient, I find myself picking this guy apart and hating him. I think some of you might be able to relate?
Give chronic pain sufferers a little more cedit! People in pain go to work and cover up the pain because it would be embarrassing to walk like a drunk person or sit there complaining about their pain. They put on a false face and go about their day. Like me, I always went to work and stayed cheery cuz I can't walk around limping or my face hanging down. Pain is very personal. So as we are working our asses off, we are in horrific pain. Also alot of us do not have insurance and not enough money to pay the premiums (like me) or money to go to a Dr. Or a massage but life goes on. We smile on the outside and are screaming on the inside. If I hear the word Yoga or swimming at the Y or taking a walk ( walked at work all damn day thankyou and smiled at everyone and came home and I want to scream. Chronic pain is personal and individual and we work hard. Sometimes a side job too. We laugh when someone tells a joke and smile and the whole time wishing your Dr would give you something for the awful pain and it doesn't have to be a whole damn bottle. One dose a day to get us thru our pain would be nice. Or to go to a wedding, or a party or some other function. We are individual and we would like to be treated as an individual.
@@bonniestroik530 I'm a chronic pain sufferer for 22 years following a botched spinal fusion surgery. While I can totally relate with what it's like to have severe pain that stays, I feel like here this doctor is talking about approaches that actually work and have good results over time. Because, it's a bad problem that even patients suffering pain who are given pain medications, while the medicaions may help int eh short term, over time their efficacy diminishes and disappears, which then requires a perpetual increasing of the dose, until some other issue happens because of that. Obviously addiciton is an issue, but I'm also talking digestive disorders or other problems that can happen from prolonged pain drugs use. I'm not saying there isn't a place for drugs, and this doctor also has pharmacologicals as part of the patient's self pain management plan, but he has it as reserved for the severe pain, while using CBT and other things like hot bath, massage, TENS units, or other interventions for the less severe pain. As a patient who has been prescribed heavy opiates for 2 decades now, first with oxycontin and then changed to Fentanyl patches and oxycodone for breakthrough pain when they changed the formulary of Oxycontin and it no longer worked for me, I can attest to how they become less effective and then you are left with even opiate pain meds not helping the pain and your dr starts looking at you like an addict because you are saying it's not as effective. I haven't tried this approach that this dr. is talking about yet, however, a lot of what he is saying makes sense to me. Obviously, its easier said than done to use exercise when suffering bad chronic pain, but what he's talking about here are approaches that do have evidence of being effective in having positive long term outcomes, as opposed to the current treatments usually put forward, aka drugs. Also, I find that the more I can hold off on taking breakthrough pain medication, or cannabis which I also use for pain, when I am eventually suffering really really bad, then when I take the breakthrough drugs they are more effective in treating that severe pain. So, there's a benefit to limiting how much of a pain med u are taking, and spacing it out as much as possible, to reduce that tolerance some. If only so that when you can't take the pain anymore, and you do take something, that it actually is effective in giving you that break. In my personal opinion, nothing is more upsetting than being in horrible pain and taking something for it, and having it not do anything. i wish you the best, and sincerely hopeyou find some real lasting relief. Feel well
Excellent talk
The Humbler
No, this is an awful talk. Everyone here would have been better off not watching this.
The surfer didn’t feel pain because he was in shock. That point was missed or avoided.
Totally agree!
Chronic pain and Aerobic exercise. Two things that don't really mix well. Thanks though. Guess you don't have chronic pain!!
I suffer from pain all over including my prostate joints head stomach. :( I feel debastated that this is happening to me!
I always found CBT kinda insulting
I wonder what your talk would be about if YOU suffered from unending chronic pain for years on end and your "health professionals" look at you as a drug user or even worse as if all this suffering is psychological. You corrupt doctors should all suffer as we chronic pain sufferers do. And all that alternative treatment is snake oil at best and harmful at worst.
Guys just read " the MindBody prescription" by dr John Sarno.. just read it... Read it... Read the damn book.
And we'll talk later
I love you
Horrible book, full of unscientific lies with no data to back it up whatsoever.
Guys, please don't read "The Mindbody Prescription" by John Sarno, he's a charlatan and a quack, just don't read it... don't read it... don't read the damn book.
Do you really love me?