Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches to improving mental health and reducing mental illness.
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Objectives
Learn about the prevalence of chronic pain (CP)
Identify the biopsychosocial impact of CP
Explore some causes of pain
Intro
About 40% of people have chronic pain issues
Pharmacological treatment is only capable of controlling chronic pain in 30-50% of the cases
BioPsychoSocial Impact of Pain
Chronic pain has complex bidirectional causal-effect relationships with biological, psychological, and social factors
Biological (impairs psych & social)
HPA-Axis: Cortisol, sleep, inflammation, serotonin, gonadal hormones
Reduced activity
Weight gain
Psychological (which worsens bio and social factors)
Grief/Depression/Anger
Guilt
Anxiety
Impatience/irritability
Jealousy/Resentment
Social (worsens psycho & bio)
Isolation/Withdrawal/Rejection
Causes of Pain
Threat learning is a major contributing factor in chronic pain and vice versa because cortisol has a significant effect on learning, biasing towards threat information
Stress increases pain and autoimmune symptoms
HPA-Axis activation leads to increased inflammatory cytokines associated with increases in anxiety and depression
People with chronic pain have higher cortisol levels
Parental low care (emotional unresponsiveness) and high overprotection (enmeshment) during childhood contribute to the future risk of chronic pain and the patients’ need for psychosomatic treatment in adulthood
Musculoskeletal (scoliosis, TMJ) or neurological conditions (like neuropathy, “phantom pain”)
Causes of Pain
Autoimmune issues
Rapid cessation of opioid medications after tolerance is developed
Cessation of adequate pain treatment as a result of Covid may have unintended consequences in people with chronic pain including increased pain, reduced function, increased reliance on opioid medications, and potential increased morbidity, due to the systemic impact of untreated disease burden
Also check out our other podcasts, Happiness Isn't Brain Surgery and Addiction Counselor Exam Review
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