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Cognitive Behavioural Therapy....anyone???

AnonymousUserAAnonymousUser Posts: 49,731
edited 06/11/2012 - 8:24 AM in Depression and Coping
Hi Guys and Gals,

My case worker recently suggested i see a Cognitive Behavioural Therapist to help me deal with my pain, although i've been dealing with it every day for over 3 years now i felt it was a little bit late but hey ho. I spoke with two specialists who have been working along side me for the duration of my back problem and they feel i do not really need such treatment as i am not depressed, obviously i get down when the pain gets really bad but im only human, but if it keeps work off my back then i should give it a try at least, which i have no problem in doing. I was just wondering if anyone had had any CBT treatment or similar therapy to help them, and more importantly has it worked?

Cheers :)))

Ruth
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Comments

  • Ruth,
    Yes it worked for me!!! I had a residential PM for four weeks, with a psychiatrist a consultant psychologist, a pharmacist and the OT team and all others, about 15 long term pain patients.

    Much academic research has been written about CBT its success and failures along the way, most of this is based on you accepting the concept and is non-invasive. Some of the initial ideas even I though were strange, I had done my own research before I even went and knew what the selection process was and what they were looking for and suitably obliged.

    Pain makes us behave in certain ways and we all understand that notion, once this process is repeated over time those understandable behaviours can become entrenched and part of our response, these can develop over time where the response to the pain initiates a reaction form us, that over time is not within our best interest. If we use depression as an example sooner intervention would assist us all in deal with this issue and not make the depth of despair or angst as prolific should later intervention be the only option possible. When and where this could happen is difficult and in most part depression is well developed before we seek the necessary support and intervention.

    This can become an ever small circle as implication for the pain restricts our perceived opportunities and stifles our growth and outward looking approach. The is a process that is intended for us to help ourselves and the measure of its success grounded in how acceptable to change and adaptation we are, we may have lived many years with what we thought were limited options and with support and the right encouragement extraordinary improvement can be achieved. Sternbach the American pain academes said PM attempts to make us more “stoic” inherent resistant to the pain, he may well have had a point.

    You may be assessed using the McGill pain questionnaire, the key is acceptance to change or malleability, the measure of success is down to you, some have not reached that stage and the use of this technique on them may be ineffectual based on assessment scores. Read all you can so you have some evidence and known expectation and it does not come as such of a shock and good luck.

    We do look to anything at times that we reduce the concept of our pain in our own perception and after 15 years of pain my own graduate skills came in useful.

    Take care have fun !!

    Keep posting.

    John
  • Thanks John for getting back to me, i was beginning to think no one had ever heard of CBT! I did try to do some research when it was first suggested to me but all i found was a few articles here and there but mainly a lot of specialist jargon i just did not understand! My arms are open to anything that might relieve my pain in one way or another, i think when i first heard the word psychiatrist i was a little bit shocked but now i've heard a little bit more about it theres no harm in trying is there. Im going to do a spot of research during my lunch so if there's anything else you can suggest i look for that might help me please do. Many thanks again for your advice.

    Take care,

    Ruth :H
  • Ruth,
    Some still view this concept as the pain is in your head and nothing could be further from the truth, we respond to the pain in our individual ways and use strategies of our of understanding or making until we know a more effective or preferable route. This is not a reason for feeling guilty about what we have done and we should not.

    If we are encouraged to behave in a negative manner through the presentation of out pain the response with be in that mode, change is never easy and adapting to new and every changing circumstances never easy. Our perception of the pain and how it makes us feel does not originate in the spine itself, it is amalgamated with our thoughts and desires and regurgitated continuously in our heads and we initiate action based of the concept of how we as an individual feel about the pain and our past experience.

    The pain is not going to go away and we should all be encouraged to live in a more balanced approach and positive outlook, pain can make you depressed and understandably. The longer you live in this scenario the more entrenched it becomes and the downward spiral increases.

    We have to live in the glass half full mode and see things that many other are not mandated to do, it is a trick and with some encouragement and practice can assists us in endure this trial however long it may last.

    Any books on CBT will help in you go into it with the right frame of mind them you will have some success, it will not get rid of the pain and enlightenment to how it imposes restriction and makes us behave will be an insight, for some it will help for other more rigid it may not, you do have some control of your condition however small and your destiny are in those limited and variable windows of opportunity.

    Good luck and keep researching.

    John

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