1Pain disorder is classified as a mental disorder because psychological factors play an important role in the onset, severity, worsening or maintenance of pain. There are several condition that rule out a diagnosis of pain disorder. Treatment may involve one or more of the following: pharmacological treatment (medication); psychotherapy (individual or group); family, behavioral, physical, hypnosis and / or occupational therapy.
1Pain disorder is classified as a mental disorder because psychological factors play an important role in the onset, severity, worsening or maintenance of pain. There are several condition that rule out a diagnosis of pain disorder. Treatment may involve one or more of the following: pharmacological treatment (medication); psychotherapy (individual or group); family, behavioral, physical, hypnosis and / or occupational therapy.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
1Pain disorder is classified as a mental disorder because psychological factors play an important role in the onset, severity, worsening or maintenance of pain. There are several condition that rule out a diagnosis of pain disorder. Treatment may involve one or more of the following: pharmacological treatment (medication); psychotherapy (individual or group); family, behavioral, physical, hypnosis and / or occupational therapy.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
symptoms are physical but not entirely understood as a consequence of a general condition. V2ain is one or more anatomical sites is the predominant complaint and is severe enough to require medical or therapeutic intervention.
V2ain disorder is classified as a mental
disorder because psychological factors play an important role in the onset, severity, worsening or maintenance of pain. Váarlier names for this disorder include psychogenic pain disorder and somatoform pain disorder.
VCommon sites of pain includes the back
(lower back), the head, abdomen, and chest. !our domains of interest: VThe underlying organic problem or medical condition. VThe experience of pain. V!unctional impairment and disability. Vámotional distress x vary depending on the site of pain and treated medically. Vnegative or distorted cognitions VInactivity, passivity, and or disability VIncreased pain requiring clinical interventions Vinsomnia and fatigue Vdisrupted social relationships at work, home or school Vdepression or anxiety psychiatrist or mental health professional arrives at the diagnosis pain disorder after considering several questions. VIf the psychiatrist believes the patient is pretending to be in pain, the patient is diagnosed as malingering for external rewards, such as seeking mood-altering drugs or as having a factitious disorder that reflects the patient·s need to adopt a sick role. There are several condition that rule out a diagnosis of pain disorder: VDyspareunia Vomatization disorder VConversion disorder VMood, anxiety or psychotic disorder
!inal consideration is whether the pain is
acute or chronic. VDepending on whether the pain is acute or chronic, management may involve one or more of the following: pharmacological treatment (medication); psychotherapy (individual or group); family, behavioral, physical, hypnosis and/or occupational therapy. Cont. treatments VTricyclic antidepressants (TCs) reduce pain, improve sleep and strengthen the effects of opioids as well as moderate depression. V2ain and depression diminish the restorative quality of sleep. When the cycle of pain, depression, insomnia and fatigue is established, it tends to be self- perpetuating. Treatment may include antidepressants, relaxation training, and education regarding good sleep hygiene. The goal of CBT is to restore a sense of self efficacy by educating the patient about the pain-tension cycle. ome tension-reducing techniques includes progressive muscle relaxation, visual imagery, hypnosis, and biofeedback. V2ain diaries are useful for describing daily patterns of pain and for helping the patient identify activities, emotions and thoughts that alleviates or worsen pain, they are also use in evaluating the effectiveness of medication given. VThe cognitive aspect of CBT is based on cognitive-social learning theory. The principles of operant conditioning are taught to the patient and family members so that activities and non- pain behaviors are reinforced or encouraged. The goal is to eliminate pain behaviors such as passivity, inactivity and over reliance to pain medications. Vcupuncture VTranscutaneous electrical nerve stimulation (Tá ) VTriggerpoint injections VMassage V erve block VMeditation Váxercise VYoga VMusic and art therapy V2ain Disorder may be prevented by early interventions at the onset or in the early stages of recurring pain. VContact primary care physicians who refers you to mental health professional or pain clinic.