Pain Reduction Articles

Non-Medication Strategies for Reducing Chronic Pain: Use and Effectiveness

Friday, July 25th, 2014

About 100 million Americans suffer from chronic pain. Lasting longer than six months, such pain can be mild or excruciating, episodic or continuous, inconvenient or totally incapacitating.

For too many, chronic pain is an invisible and debilitating condition. Often employers and even spouses can’t quite appreciate the impact of a migraine or the limitations imposed by back pain. As such, those who suffer often report feeling isolated in addition to feeling depressed, worried about levels of medication and anxious about a future of no relief from pain.file0001875581713

Scientifically Proven Non-Medication Strategies

The good news is that in addition to ever expanding medication options, there are an increasing number of scientifically proven non-medication approaches to reduce chronic pain, increase the effectiveness of medication, address flare-ups, and in some cases reduce need for medication.


Understanding Anger in the Aftermath of Trauma and Disaster

Tuesday, January 22nd, 2013

“Is Anyone Else Angry?”

anger and traumaTrauma theorists tell us that while traumatic events are in themselves physically and emotionally assaultive, it is often the emotions suffered after the smoke clears and the media goes home that become painful and disruptive to our recovery. One of these is anger.

Anger in the aftermath of a traumatic event, be it the loss of a child, the destruction of one’s home, a life-threatening diagnosis or the sequel to combat stress is a common and complex response. It can be experienced as a physiological state, an emotion, a way of thinking, a behavioral response or a combination of these.

  • You are not alone if you feel angry about what has happened.
  • Essentially you are suffering. The problem is that when anger persists–it obscures everything else.
  • The ability to make meaning of it and redirect it, keeps it from holding you back and taking more from you.

Understanding some of the feelings and dynamics that underscore anger after trauma may be an important step in your journey forward.

Anger as Residual of Fight/Flight Response

It is to our advantage that our biological arousal system goes into survivor mode in face of danger causing an increase in heart rate, rapid shallow breathing, cold sweats, tingling muscular tension and often-antagonistic behavior.

The problem is that when the danger has passed, our body often remains in a state of hyperarousal, leaving us reacting with anger to what would ordinarily be mildly distressing stimuli.

  • We blow up at the relatives who keep asking if everything is starting to get easier.
  • We storm off the line that feels too long at Starbucks.
  • We find ourselves fighting over everything with our partner.
  • We are driving faster and yelling more than usual.

Because this is a physically driven anger, we need to work from the body out to bring it down. We need to re-set our body rhythms by moving, sleeping and eating well. Moving in any way (exercise, walking, re-building, cleaning, physically helping friends) is crucial.

One widow, who told me she was mad at God after 9/11, started walking and didn’t stop until the tears and …


Does Hope Really Make a Difference? Scientific Findings

Thursday, July 26th, 2012

Almost everyone has some experience with hope: We hope for the best. We hang on to hope. We despair when we lose hope.

It would seem that hope, which is broadly defined as an emotional state that promotes the belief in a positive outcome, is in inherent in human nature.

Reflections of the importance of hope are found in early mythology, religion, philosophy and literature.

Pandora, although forbidden, opened the box given to her by Zeus, and in a moment, all the curses were released into the world and all the blessing escaped and were lost- except one: hope.

“To have faith is to be sure of the things we hope for, to be certain of the things we cannot see.” ― The King James Version of the Bible

“Hope is a waking dream.” –Aristotle

“Where there is no hope, it is incumbent on us to invent it.” -Albert Camus

“Hope is that thing with feathers that perches in the soul and sings the tune without the words and never stops — at all.” -Emily Dickinson

Clearly we need hope, but even as we embrace it we often wonder – Does hope really make a difference? Is it myth, fiction, collective denial?

There is actually increasing scientific evidence that hope changes us psychologically and physiologically – that it makes a difference.


Medical Illness as Psychological Trauma: Overlooked Pain

Friday, April 20th, 2012

In this era of advanced medical detection and intervention, the medical care of patients and the reduction of mortality for life threatening illness has never been greater.  Against this backdrop of success, however, what is often overlooked by professionals, family, even patients, is the experience of medical illness as psychological trauma.

  • While some efforts like the emerging field of Psycho-oncology are starting to address the totality of the patient and the American Psychiatric Association now officially considers “ being diagnosed with a life –threatening illness” a potentially traumatic event, it is perhaps most important that patients and families understand why and how medical illness often brings with it- anxiety, anger, depression, panic and post-traumatic stress symptoms.
  • Understanding, normalizing and validating common stress reactions can demystify and lower anxiety at a time when so much feels beyond understanding or out of control.
  • Given that the experience of trauma is a function of many variables including age, nature of trauma, duration and personal meaning, people will differ in their psychological response to medical illness.
  • Some may experience a few symptoms which abate within months, others will deal with a delay in the experience of depression or anxiety until well after the medical crisis, and for others the persistence of emotional distress may warrant professional help.

The Benefits of a Self-Enhanced View of You: New Findings

Wednesday, March 28th, 2012

Do you think you have an inflated sense of self?

Do you have positive illusions about the way you compare with others, make decisions, control your circumstances?

While this enhanced self-perception may not, particularly in the extreme, cause you to win friends and influence people – it may actually serve you well in buffering stress and coping with adversity.

A recent study by Gupta and Bonanno gathered longitudinal data to examine the relationship between self-enhancement and adjustment of college students to potentially traumatic events over their four years. It is the only study to date using on-going reactions instead of post trauma retrospective reports.


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Suzanne Phillips, Psy.D., ABPP & Dianne Kane, DSW are the authors of Healing Together: A Couple's Guide to Coping with Trauma and Post-Traumatic Stress. Pick up the book today!

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