Cognitive Therapy for Chronic Pain A Step-by-Step Guide

Author: Beverly Thorn
Affiliation:
Publisher: Guilford Press
Publication Date: 2017
ISBN 10: 1462531695
ISBN 13: 9781462531691
eISBN: 9781462531882
Edition: 2nd

Description:

This go-to manual--now revised and significantly expanded with more than 50% new material--has guided thousands of clinicians to help clients with chronic pain manage their symptoms and restore function. The volume provides everything needed to implement 10 treatment modules that draw on proven cognitive-behavioral therapy (CBT) strategies. It includes 56 reproducible client handouts and assessment tools that purchasers can photocopy from the book or download and print from the companion website. The website also offers access to downloadable audio recordings of relaxation exercises narrated by the author, plus supplemental resources for treating clients with lower levels of literacy. New to This Edition *Incorporates over a decade of important advances in pain research and clinical practice. *Treatment modules now designed to be less dependent on each other, so clients can enter a group at any point after an introductory session. *Expanded with motivational enhancement, relaxation, and mindfulness techniques. *Many new handouts, assessment tools, and therapist scripts, as well as audio downloads. *Increases patient buy-in with an accessible treatment rationale grounded in state-of-the-art brain research.

Table of Contents

Front Matter

  • ABOUT
  • About the Author
  • Preface

PART I Rationale, Theory, Research, and Assessment

    CHAPTER 1: Why Consider Cognitions When Treating Chronic Pain?

    • Why Cognitive Approaches Are Important in Pain Management
    • The Central Nervous System and Pain
    • Nomenclature Used for Defining, Diagnosing, and Treating Pain Disorders
    • The Stress–Appraisal–Coping Model
    • Treatment Rationale
    • Overview of This Book
    • Chapter Summary

    CHAPTER 2: Conceptual/Organizational Model and Treatment Rationale

    • Individual Characteristics
    • Primary Appraisals
    • Secondary Appraisals
    • Coping
    • Adjustment
    • What Is Cognitive Therapy as Applied to Pain Management?
    • Treatment Rationale
    • Organization of Treatment Modules
    • Chapter Summary

    CHAPTER 3: The Research Foundation for Cognitive Treatment of Pain

    • Comparing Psychosocial Treatments for Pain
    • Identifying Key Components of Psychosocial Treatments for Pain
    • Relaxation Techniques
    • Emotional Disclosure Techniques
    • Assertive Communication Techniques
    • Summary of Research Findings
    • Chapter Summary

    CHAPTER 4: Clinical Assessment of Pain from a Biopsychosocial Perspective

    • A Historical View of Pain and Its Assessment
    • Moving Forward: Domain-Specific and Efficient Biopsychosocial Pain Assessment
    • Chapter Summary

PART II A Cognitive Treatment Program for Chronic Pain

    Overview of the Treatment Program

    • Modality: Group versus Individual Treatment
    • Who Is Qualified to Run These Treatment Groups?
    • Organization of the Treatment Sessions
    • Overview of the Standard Session Format
    • Therapeutic Challenges
    • Summary

    TREATMENT MODULE 1: The Brain in Pain

    • Session Objective: Welcome Clients and Introduce the Treatment
    • Session Objective: Learn Participant Goals and Enhance Motivation for Treatment
    • Session Objective: Introduce the Gate Control/Neuromatrix Model as the Treatment Rationale
    • Session Objective: Facilitate Further Work on Goal Definition
    • Worksheet: Goals for Living Worksheet
    • Homework Assignment
    • Postsession Check
    • CLIENT HANDOUT 1.1 Session 1 Patient Guide: The Brain in Pain: Rationale for Cognitive Therapy
    • CLIENT HANDOUT 1.2 Session 1 Outline for Clients: The Brain in Pain: Rationale for Cognitive Therapy
    • CLIENT HANDOUT 1.3 Learning to Live with It?
    • CLIENT HANDOUT 1.4 The Brain and Pain
    • CLIENT HANDOUT 1.5 Goals for Living Worksheet
    • CLIENT HANDOUT 1.6 Postsession Check
    • THERAPIST TOOL 1.1 Introductory Session 1 Outline for Therapists

    TREATMENT MODULE 2: The Stress–Judging–Pain Connection

    • Session Objective: Review the Previous Week’s Session
    • Session Objective: Introduce the Stress–Pain Connection
    • Session Objective: Introduce the Stress–Judging Connection
    • Worksheet: Stress–Judging–Pain Worksheet
    • Session Objective: Introduce Relaxation Strategies as a Way of Managing the Stress Response
    • Homework Assignment
    • Postsession Check
    • CLIENT HANDOUT 2.1 Session 2 Patient Guide: The Stress–Judging–Pain Connection
    • CLIENT HANDOUT 2.2 Session 2 Outline for Clients: The Stress–Judging–Pain Connection
    • CLIENT HANDOUT 2.3 Listing Stressors Worksheet
    • CLIENT HANDOUT 2.4 Stress–Judging–Pain Worksheet
    • CLIENT HANDOUT 2.5 Postsession Check
    • THERAPIST TOOL 2.1 Session 2 Outline for Therapists: The Stress–Judging–Pain Connection
    • THERAPIST TOOL 2.2 Diaphragmatic Breathing Relaxation Script

    TREATMENT MODULE 3: Identifying Automatic Thoughts

    • Brief Relaxation Exercise
    • Session Objective: Review the Previous Week’s Session
    • Session Objective: Introduce the “Think → Feel → Act” Model
    • Session Objective: Identify Automatic Thoughts or Images
    • Worksheet: Noticing Our Thoughts Worksheet
    • Homework Assignment
    • Postsession Check
    • CLIENT HANDOUT 3.1 Session 3 Patient Guide: Identifying Automatic Thoughts
    • CLIENT HANDOUT 3.2 Session 3 Outline for Clients: Identifying Automatic Thoughts
    • CLIENT HANDOUT 3.3 Illustration of the Think → Feel → Act Model
    • CLIENT HANDOUT 3.4 Examples of Negative Thinking
    • CLIENT HANDOUT 3.5 Noticing Our Thoughts Worksheet
    • CLIENT HANDOUT 3.6 Examples of Common Emotions
    • CLIENT HANDOUT 3.7 Example: Noticing Our Thoughts Worksheet
    • CLIENT HANDOUT 3.8 Postsession Check
    • THERAPIST TOOL 3.1 Session 3 Outline for Therapists: Identifying Automatic Thoughts

    TREATMENT MODULE 4: Examining Our Thoughts and Creating New Ones

    • Brief Relaxation Exercise
    • Session Objective: Review the Previous Week’s Session
    • Session Objective: Examine Automatic Thoughts
    • Worksheet: Examining Automatic Thoughts Worksheet
    • Session Objective: Create a New (More Realistic) Thought
    • Worksheet: Creating New Thoughts Worksheet
    • Homework Assignment
    • Postsession Process Check
    • CLIENT HANDOUT 4.1 Patient Guide: Examining Our Thoughts and Creating New Ones
    • CLIENT HANDOUT 4.2 Session 4 Outline for Clients: Examining Our Thoughts and Creating New Ones
    • CLIENT HANDOUT 4.3 Examining Automatic Thoughts Worksheet
    • CLIENT HANDOUT 4.4 Creating a New Thought Worksheet
    • CLIENT HANDOUT 4.5 Example: Examining Automatic Thoughts Worksheet
    • CLIENT HANDOUT 4.6 Example: Creating New Thoughts Worksheet
    • CLIENT HANDOUT 4.7 Postsession Check
    • THERAPIST TOOL 4.1 Session 4 Outline for Therapists: Examining Our Thoughts and Creating New Ones

    TREATMENT MODULE 5: Muscle Relaxation and Coping Self-Statements

    • Brief Relaxation Exercise
    • Session Objective: Review the Previous Week’s Session
    • Session Objective: Learn a Deeper Relaxation Technique
    • Session Objective: Construct and Use Positive Coping Self-Statements
    • Coping Cards
    • Homework Assignment
    • Postsession Check
    • CLIENT HANDOUT 5.1 Session 5 Patient Guide: Muscle Relaxation and Coping Self-Statements
    • CLIENT HANDOUT 5.2 Session 5 Outline for Clients: Muscle Relaxation and Coping Self-Statements
    • CLIENT HANDOUT 5.3 Examples of Pain-Related Coping Self-Statements
    • CLIENT HANDOUT 5.4 Postsession Check
    • THERAPIST TOOL 5.1 Session 5 Outline for Therapists: Muscle Relaxation and Coping Self-Statements
    • THERAPIST TOOL 5.2 Passive Muscle Relaxation Script

    TREATMENT MODULE 6: Deeper Beliefs

    • Brief Relaxation Exercise and Processing of Passive Relaxation Practices
    • Session Objective: Review the Previous Week’s Session
    • Session Objective: Identify Deeper Negative Beliefs and Make New Beliefs
    • Worksheet: Deeper Beliefs Worksheet
    • Session Objective: Learn about the “Acting As If” Exercise
    • Homework Assignment
    • Postsession Check
    • CLIENT HANDOUT 6.1 Session 6 Patient Guide: Deeper Beliefs
    • CLIENT HANDOUT 6.2 Session 6 Outline for Clients: Deeper Beliefs
    • CLIENT HANDOUT 6.3 Tree Diagram: Thoughts and Beliefs
    • CLIENT HANDOUT 6.4 Deeper Beliefs Worksheet
    • CLIENT HANDOUT 6.5 Example 1: Deeper Beliefs Worksheet
    • CLIENT HANDOUT 6.6 Example 2: Deeper Beliefs Worksheet
    • CLIENT HANDOUT 6.7 Postsession Check
    • THERAPIST TOOL 6.1 Session 6 Outline for Therapists: Deeper Beliefs

    TREATMENT MODULE 7: Observing and Letting Go

    • Brief Relaxation Exercise
    • Session Objective: Review the Previous Week’s Session
    • Session Objective: Introduce the Concept of Mindfulness as It Relates to Cognitive Therapy
    • Session Objective: Learn a Simple Meditation Exercise
    • Homework Assignment
    • Postsession Check
    • CLIENT HANDOUT 7.1 Patient Guide: Observing and Letting Go
    • CLIENT HANDOUT 7.2 Session 7 Outline for Clients: Observing and Letting Go
    • CLIENT HANDOUT 7.3 Postsession Check
    • THERAPIST TOOL 7.1 Session 7 Outline for Therapists: Observing and Letting Go
    • THERAPIST TOOL 7.2 Mindfulness Script

    TREATMENT MODULE 8: Writing about Strong Emotions

    • Brief Relaxation Exercise
    • Session Objective: Review the Previous Week’s Session
    • Session Objective: Learn and Practice an Emotional Disclosure Exercise
    • Homework Assignment
    • Postsession Check
    • CLIENT HANDOUT 8.1 Patient Guide: Writing about Strong Emotions
    • CLIENT HANDOUT 8.2 Session 8 Outline for Clients: Writing about Strong Emotions
    • CLIENT HANDOUT 8.3 Postsession Check
    • THERAPIST TOOL 8.1 Session 8 Outline for Therapists: Writing about Strong Emotions: Another Way of Acknowledging and Letting Go

    TREATMENT MODULE 9: Assertiveness

    • Brief Relaxation Exercise
    • Session Objective: Review the Previous Week’s Session
    • Session Objective: Learn and Practice an Assertive Communication Exercise
    • Worksheet: Assertiveness Worksheet
    • Homework Assignment
    • Postsession Check
    • CLIENT HANDOUT 9.1 Session 9 Patient Guide: Assertiveness: A Great Way to Communicate
    • CLIENT HANDOUT 9.2 Session 9 Outline for Clients: Assertiveness: A Great Way to Communicate
    • CLIENT HANDOUT 9.3 Assertiveness Worksheet
    • CLIENT HANDOUT 9.4 Assertiveness Tip Sheet
    • CLIENT HANDOUT 9.5 Postsession Check
    • THERAPIST TOOL 9.1 Session 9 Outline for Therapists: Assertiveness: A Great Way to Communicate

    TREATMENT MODULE 10: Putting It All Together

    • Brief Relaxation Exercise
    • Session Objective: Review the Previous Week’s Session
    • Session Objective: Review Concepts Taught and Skills Learned in This Program
    • Session Objective: Group Members Provide Feedback about Helpful and Challenging Aspects of the Treatment Program
    • Session Objective: Encourage Clients to Continue to Practice and Include These Techniques in Everyday Life
    • Postsession Check and Termination
    • CLIENT HANDOUT 10.1 Session 10 Outline for Clients: Putting It All Together
    • CLIENT HANDOUT 10.2 Basic Concepts Learned in This Program
    • CLIENT HANDOUT 10.3 Your Skills Toolbox
    • CLIENT HANDOUT 10.4 Postsession Check
    • THERAPIST TOOL 10.1 Session 10 Outline for Therapists: Putting It All Together

Appendices

    APPENDIX A Brief Pain Inventory—Short Form (BPI-SF)

    APPENDIX B P4 Suicidality Screener

    APPENDIX C Pain Catastrophizing Scale (PCS)

    APPENDIX D Tampa Scale for Kinesiophobia–11 (TSK-11)

    APPENDIX E Pain Self-Efficacy Questionnaire (PSEQ)

    APPENDIX F Patient Global Impression of Change Scale

References

List of Audio Tracks

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