Acceptance and Commitment Therapy for Chronic Pain - Laura Rathbone
The Back Pain Podcast
The Different Types of Chronic Pain
Chronic pain technically is pain that has persisted beyond three months. It's just that that's the threshold at which we give that sort of label. Within the first few weeks of a pain experience, it's very difficult for us to really know who's going to go on to have a persistent experience. So we're moving towards the term persistent, but diagnostically, we still use the word chronic.
Join your host Rob and Laura Rathbone, a pain specialist and clinician who in this episode talks about what it’s like to have chronic pain and how Acceptance and Commitment therapy can play an important role in being able to move forward.
There isn’t universal biology for pain, it’s a nuanced experience created in the individual. Pain has psychological experiences within it along with biological processes and physical experiences. Acceptance and Commitment therapy offers an approach that is focused on acknowledging the struggle and looking at changing a dimension of the experience. Listen in and learn more to find out if it may be the approach you need to help with your pain
KEY TAKEAWAYS
- You recognise the expertise of the person experiencing pain, they know their pain
- It’s about looking at the complete landscape of evidence to see if there is anything that can be used to help them with their pain
- The first conversation is a discovery session and beginning the process of working collaboratively
- Acceptance and Commitment therapy is developed as a third way of CBT and is a compassion-focused process-based therapy
- ACT is about acknowledging the struggle and looking at changing a dimension of the experience
- Pain has psychological experiences within it along with biological processes and physical experiences
- ACT has a structure and uses a person’s ability to self-observe their present moment, recognise where there are obstacles and take action
- We are using ACT to see if there is a way to create room for change
- It’s focusing on the principle of rehabilitation and moving flexibly with what life offers and staying connected to what’s important
- ACT is inviting people on a journey of exploration setting their own boundaries as to how they want to live well with the experience of pain and understanding that the pain may remain
- It’s about being willing to have the feeling to get to the stuff you want
- ACT is about trying to stay true to someone’s value-based action and stay in that moment of turning towards it
- An ACT informed approach to physical therapy is using the principle of rehabilitation in the moment with the added skill of managing the emotional distress
BEST MOMENTS
‘They know their pain more than I can ever know their pain’
‘I’m an MSK trained therapist looking to use psychological perspectives and skillsets within my therapy’
‘Pain is changeable it’s just by how much and how it is done’
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ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com if you have any questions for him.
Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
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