You'll learn about a physical therapist who has evolved her work through Pain Neuroscience Education onto Cognitive Behavioral Therapy using Acceptance and Commitment Therapy in the unique environment of a prison. My guest is Mary Doyle, who has been a practicing physical therapist since 1995. Her career started out in outpatient orthopedics. She eventually moved to home care where she treated both geriatric and pediatric patients in the home. Looking for a change from driving and the ever-increasing hurdles of insurance, she moved to correctional facility work in 2016.
She functions in a primary care physical therapy practice within a prison environment. She combines physical therapy with Acceptance and Commitment Therapy for the treatment of pain and other chronic lifestyle conditions. You'll learn how Mary uses Acceptance and Commitment Therapy to target the important psychosocial variables for prisoners in the prison environment. If you're interested in learning about combining Pain Neuroscience Education, mindfulness, and ACT like Mary does, make sure to check out my latest book, Radical Relief: A Guide to Overcome Chronic Pain. It is available on Amazon and in most countries. Without further ado, let's begin and let's meet Mary Doyle and learn about combining ACT with physical therapy.
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We're discussing how to target pain catastrophizing by using a core process of acceptance and commitment therapy called cognitive diffusion. My expert guest is physiotherapist Davide Lanfranco. Davide is an Italian physiotherapist who works in London. He is a member of the Chartered Society of Physiotherapy and is one of the Founders of FisioScience International, an online platform which aims to spread evidence-based knowledge about pain. In this episode, you'll learn how pain catastrophizing impacts both physical and mental wellbeing, all about the cognitive change process of cognitive fusion, how it's different from other cognitive interventions and how we can teach patients unhook from unpleasant or unwanted thoughts about pain.
Cognitive fusion is a time-tested, science-backed approach that has helped thousands of people experiencing chronic pain, as well as those suffering from stress, depression, anxiety, trauma, and addiction. Cognitive fusion is a key part of my latest book, Radical Relief, which is rooted in the principles of acceptance and commitment therapy. Radical Relief, which is written for both practitioners and for people living with pain uses metaphors, colorful imagery and includes more than 40 mindfulness activities to help you identify the blocks that may be keeping you stuck and offers tools for taking meaningful action toward a more fulfilling life. It's available on Amazon and in most countries. Let's begin and let's learn about cognitive fusion techniques and how it can help pain catastrophizing with physiotherapists Davide Lanfranco.
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Happy New Year and welcome to this first episode of the Healing Pain Podcast in the year 2021. We are starting the year off on a strong note with one of the world's experts with regard to pain neuroscience education. My guest is Professor Adriaan Louw. Adriaan is a physical therapist, pain scientist and author in the field of pain neuroscience, Director of the Therapeutic Neuroscience Research Group and Director of Pain Science for Evidence in Motion. His main area of research focuses on teaching patients and healthcare providers more about pain.
He has years of experience teaching pain neuroscience education to health professionals. He's authored numerous books on the topic and published over 70 peer-reviewed papers related to pain science. In this episode, we discuss pain neuroscience education plus why it is important for both practitioners and people living with pain. What types of clinical outcomes can you expect when you deliver effective pain neuroscience education? Whether or not it should be delivered as a standalone intervention or part of a larger multimodal treatment approach coupled with other cognitive interventions such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy or mindfulness.
Throughout the interview, we discuss how you can effectively use pain neuroscience education and couple it with other cognitive interventions. If you're interested in combining pain neuroscience education with Acceptance and Commitment Therapy, make sure to check out my latest book available on Amazon. It's called Radical Relief: A Guide To Overcome Chronic Pain. Inside, he goes deep into the principles of Acceptance and Commitment Therapy and includes over 50 cognitive and mindful exercises you can use with your patients as well as a little bit of pain neuroscience education. Without further ado, let's begin with the great Adriaan Louw.
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We're discussing heart rate variability for mind-body health, as well as athletic performance. Our expert guest is Professor Karen Mueller. Karen is a professor in the Department of Physical Therapy at Northern Arizona University and the author of the book, Communication from the Inside Out: Strategies for the Engaged Professional. With a career-long interest in the promotion of mind-body health throughout the lifespan, she has published and presented in the areas of mindfulness and brain-based communication strategies to support optimal living. Karen's current research involves the study of compassion among healthcare students and burnout among physical therapy students. You'll learn all about the importance of measuring heart rate variability, how training heart rate variability can help improve athletic performance, and the importance of heart rate variability for both physical and mental wellbeing.
Before we begin, I wanted to let you know that my newest book called Radical Relief: A Guide to Overcome Chronic Pain, is available for pre-order on Amazon. Radical Relief is based on three science-backed methods, including pain, neuroscience education, Acceptance and Commitment Therapy and mindfulness, a topic which we'll be discussing on this episode. Radical Relief is perfect for practitioners who treat chronic pain or for people living with pain, and it's filled with brief exercises that use the power of the mind as well as easy to read chapters with full color illustrations. Without further ado, let's meet Professor Karen Mueller and learn all about heart rate variability.
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I want to let you know that my latest book, Radical Relief: A Guide to Overcome Chronic Pain, is available on Amazon for preorder. Radical Relief is based on three science-backed methods including pain neuroscience education, acceptance and commitment therapy and mindfulness. Radical Relief is perfect for practitioners or for people living with pain. It’s filled with brief exercises that use the power of the mind as well as easy to read chapters with full-color illustrations. You can preorder your copy on Amazon.
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We're talking about a paradigm shift from the biopsychosocial model to what's being termed an enactive approach for the treatment of pain. Joining us is Dr. Peter Stilwell. He is a Canadian researcher and is on faculty at the School of Physical Medicine and Occupational Therapy at McGill University. In addition to being the Ronald Melzack Fellow in Pain Research, his current research projects involve conceptual and qualitative work on persistent pain and related suffering. In this episode, you'll learn all about the biopsychosocial model for pain, why the time is ripe to switch to an enactive approach toward pain, and how this new emerging approach can help you reconceptualize pain and provide more effective pain education. Without further ado, let's begin and meet Peter Stilwell, and learn all about an enactive approach toward the treatment of pain.
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In this episode, we're discussing how to treat individuals with osteoarthritis as well as how to promote public health campaigns for effective treatment. My expert guest is Kirsten Ambrose. Kirsten is the Associate Director for the Osteoarthritis Action Alliance at the University of North Carolina. She has a Master's of Science and more than twenty years of experience managing multidisciplinary teams towards successful research conduct in chronic pain related disorders and public health action for osteoarthritis awareness.
Her experience includes delivery of physical activity education and programming to individuals with various chronic pain conditions and disabilities. In this episode, you'll learn all about osteoarthritis, what you can do to manage or prevent osteoarthritis, and how you can engage in effective public health campaigns for the treatment of osteoarthritis. Without further ado, let's begin and let's learn all about the care of osteoarthritis with Kirsten Ambrose.
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We’ve got a great fun and informative episode. We’re talking about the ten dos and don’ts of persistent and chronic pain. My expert guest is Dr. Derek Griffin. Derek graduated from the University of Limerick with a Bachelor’s Degree in Physiotherapy and earned his PhD in the field of physiotherapy pain and physical activity in 2013. Since graduation, Derek has worked clinically in the private health sector in the areas of musculoskeletal pain, sports physiotherapy and care of the elderly. In 2017, he was appointed a clinical specialist physiotherapist. A role where he works together with his physical therapy colleagues and hospital medical teams to provide comprehensive services to patients with a range of musculoskeletal health problems.
He has lectured on the undergraduate and postgraduate Physical Therapy Programs at the University of Limerick. He has been an invited speaker at a number of scientific conferences and regularly contributes to physiotherapy educational initiatives, both nationally as well as internationally. In our episode, Derek speaks about his work as a Pain Specialist Physiotherapist, as well as the five dos and five don’ts of persistent pain. This is a great episode to share with your friends, colleagues and anyone who is overcoming chronic pain. Without further ado, let’s begin and meet Dr. Derek Griffin.
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In this episode, we are discussing how a low glutamate diet effectively improves pain and fatigue, and veterans diagnosed with Gulf War Illness. My expert guest is Dr. Kathleen Holton. She is an associate professor in the Department of Health Sciences at American University and is also affiliated with the Center for Behavioral Neuroscience. She is a nutritional neuroscientist whose research examines the negative effects of food additives on neurological symptoms, as well as the positive protective effects of certain micronutrients on the brain. The main focus of her research is on glutamate, which is an excitatory neurotransmitter in the brain. This becomes dysregulated in many neurologic conditions, including chronic pain, migraine, multiple sclerosis, depression, anxiety, and PTSD. I enjoyed speaking with Kathleen on this topic, much of her research informs how we treat people with chronic pain by using nutrition and clinical practice. Without further ado, let's begin and let's meet Dr. Kathleen Holton.
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As always, it's an honor and a pleasure to be spending this time with you. If you're using any type of psychologically informed care, whether you're a physical therapist, an occupational therapist, a coach, a nurse, a physician, or a mental health provider, you'll notice that many people observe that pain impacts their thoughts and brings about emotional states that affect their body, aggravates pain and for some, increases their desire for drugs such as opioids. More and more patients are seeking integrative and comprehensive pain therapies that care for both their body as well as their mind. Some realize that pain medications alone are not enough to address the root cause of their problem.
In this episode, we speak with Professor Eric Garland, who teaches at the University of Utah, a licensed clinical social worker and a researcher who uses mindfulness to treat many chronic conditions. His research has been shown to be effective and support the recovery from alcohol dependence, opioid misuse, nicotine addiction, relieve pain as well as symptoms of post-traumatic stress disorder, reduces video game addiction and unhealthy eating behaviors. We'll take a deep dive into the theory, research and practical components of delivering mindfulness-based interventions.
Specifically, this episode centers around three concepts that I want to define before we begin this episode. The first is simply mindfulness, which is a state achieved by focusing one's awareness on the present moment while accepting thoughts, feelings, and bodily sensations. The second is reappraisal, which entails helping people shift their thinking and developing new, more helpful perspectives, beliefs, and actions to deal with stressful events. The third is the skill of savoring, which is a positive sense of reward needed to drive and sustain behavior change. This is an excellent episode for those living with chronic pain, stress and related conditions, as well as the practitioners who treat them. I enjoyed speaking with Eric and I know you will as well. Let's begin. Let's meet Professor Eric Garland.
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We're discussing topics and beliefs associated with racial bias in pain management and physical therapy. It has been reported that medical students and residents hold false beliefs about the biological differences between blacks and whites. It demonstrates that these beliefs predict racial bias in pain perception and the management of effective pain care. My guest is physical therapist Michael Holder. Michael graduated with a Bachelor of Science in Exercise Physiology and a Minor in Strength and Conditioning from the University of Delaware. He went on to earn his Doctorate in Physical Therapy from Misericordia University in 2013. He works in outpatient sports and orthopedics. He holds certifications in Vestibular Rehabilitation, Functional Nutrition for Chronic Pain, and Instrument-Assisted Soft Tissue Mobilization.
In this episode, we discuss how pain is treated differently in the African-American community, who are more likely to receive pain medication, blacks or whites, pain myths and false beliefs that are still alive to this day, hurt pain and sustain pain in African-American and other people of color, challenges to accessing physical therapy and other vital health services necessary for the adequate care of pain in minorities and African-Americans. Finally, issues related to minorities and people of color in the profession of physical therapy. Let's meet Michael Holder and discuss pain and racial bias.
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Welcome to this episode where we're discussing expert opinions and innovations on how to target central sensitization through using nutrition and diet and other lifestyle factors. This is a special episode where you can listen, learn and earn continuing education credit. This episode is sponsored by the Integrative Pain Science Institute. The Institute is approved for continuing education for physical therapists. It also meets the standards for the National Board for Certification in Occupational Therapy. The Integrative Pain Science Institute is approved by the American Psychological Association to sponsor getting education credits for psychologists and other mental health providers. Finally, the Institute is recognized by the National Board for Health and Wellness Coaching as an approved continuing education provider. Once you listen to this episode, and you want to rack up some extra continuing education units, all you have to do is go to the IntegrativePainScienceInstitute.com, go to the Courses tab, and then scroll down to where it says “Listen and Learn” and click Register to register for episode number 200. This episode is available for two credit hours.
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We're discussing both the research and clinical applications of the use of a ketogenic diet to treat neurodegeneration autoimmunity and cancer. We're joined by not one, but two guests. I know you're going to love and learn lots of great information from. Our first guest is Dr. Matthew Phillips. He's a neurologist who is both studying and using a ketogenic diet. Our second guest is his patient Sarona Rameka, who is a stage-four cancer survivor. Dr. Phillips is a full-time clinical and research neurologist in New Zealand.
His passion is to explore the potential feasibility, safety and efficacy of metabolic therapies, particularly ketogenic diets and fasting in creating alternate metabolic states that may improve not only symptoms, but also function and quality of life for people with a variety of neurological conditions. Sarona is the first documented person in the world to utilize fasting and ketogenic diet as the primary management strategy for a metastatic cancer in the absence of surgery, chemotherapy, or radiotherapy culminating in a near complete regression. Nearly three years after being diagnosed with inoperable metastatic cancer, she shows no signs of disease and leads a full and active life. Without further ado, let's meet Dr. Matthew Phillips and his patient Sarona and learn all about the implications for a ketogenic diet.
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Welcome to Episode 198 of the Healing Pain Podcast. We're doing a little bit of a pivot. Historically, we have focused on the treatment of chronic pain mostly in populations of people that have conditions or diseases that contribute to the chronification but persistence of pain. We're looking at athletes, how they respond, and cope to pain specifically how contact and non-contact athletes cope with pain. As you’re reading and our expert guests, take the time to consider, is there something that you learn that you can apply to all different types of people with pain, not just athletes, but those who are non-athletic and you're helping them to promote some exercise or physical activity in their life to help them overcome chronic pain?
Joining me to discuss athletes and pain is sports psychologist, Claire Thornton. Claire is PhD examined athletes and pain with a focus on contact athletes specifically Rugby, American football players, and martial artists. Her main research interest centers around pain responses within this population in terms of pain tolerance, pain coping styles, challenge and threat perceptions and performance. Without further ado, let's begin. Let's meet Claire and discuss how different types of athletes cope with pain.
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In this episode, we're discussing the different types of psychological therapies available for the treatment of chronic pain. Do they help? Are they safe? How much confidence can we place in them and what we should further investigate regarding this topic as we move forward? My expert guest this episode is Dr. Amanda Williams. Amanda was a full-time clinician in a pain management program for many years, then she transitioned to teaching and research. She's a professor of clinical health psychology at The University College London and a consultant clinical psychologist at the Pain Management Centre University College London Hospital in the United Kingdom. We discussed the findings from her paper called , which can be found in the August 2020 Cochrane Library of Systematic Reviews. The paper updates the literature regarding the effectiveness of different kinds of psychological therapy, including traditional cognitive behavioral therapy, acceptance and commitment therapy, and behavioral therapy.
It also asks the question as to whether these interventions are safe and if we've investigated safety and harm enough in the literature. This paper was well-received by many, however, as with any study, there were some questions regarding the findings and how much emphasis we should place on psychological therapies versus other types of therapies to help people living with chronic pain. The paper also had some significant criticisms as to developing research base around acceptance and commitment therapy for chronic pain, a topic we've discussed many times on the show. It's important that as professionals and as general members of the public, we’re informed as to the argument and all sides of the literature, research, and perspectives with regard to the various treatments of psychological therapies for the treatment of chronic pain. We discuss all of this and more on this episode. Let's meet Dr. Amanda Williams.
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We're discussing the association between Alzheimer's and chronic pain. My expert guest is Dr. Dale Bredesen. He's a professor at UCLA and the President of the Buck Institute for Research on Aging. His work focuses on the mechanisms leading to neurodegeneration. With his research group, he's published over 220 scientific papers leading to the first description of the reversal of cognitive decline in patients with Alzheimer's disease. His book, The End of Alzheimer's, is a New York Times bestseller and is now available in 32 languages. Let's get ready and let's meet Dr. Dale Bredesen and learn about the link between Alzheimer's and chronic pain.
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Thanks for joining me for another episode of the show. It's an honor and a pleasure to spend this time with you. If you follow along with other episodes, you may have noticed that we've taken a somewhat narrow focus on the effective treatment of pain either from an individual perspective or identifying which methods have evidence that we can utilize and weave into our existing clinical practice. We're going to take a wider, broader focus and look at the impact of chronic pain as a global health priority. Joining us as our expert guest is Dr. Christopher Williams. Chris is a research fellow and health services researcher with a background in both exercise science as well as physiotherapy.
He currently has a joint role within the public health unit where he established and leads the musculoskeletal health services program, a research practice program that focuses on improving the coordination of public health and clinical services to optimize the management of health risk factors associated with a musculoskeletal condition. This program collaborates with stakeholders from multiple settings including clinical care units, community health, and industry partners to optimize both prevention as well as treatment. His work focuses on developing and testing new approaches to prevention and care as well as practice change methods to influence the use and adoption of evidence-based approaches.
On this episode, you'll learn what makes pain a public health issue and how it differs from a population health issue, how pain management fits into public health, what we can learn from public health to help reduce the burden of pain, the biggest challenges we face when dealing with pain in a public health model and how research at times has failed to inform clinical practice and what we can do about it. I'm excited to be sharing this episode with you with regard to the impact of chronic pain as a public global health priority. Without further ado, let's begin, and let's meet Dr. Christopher Williams.
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We are discussing nutrition and chronic musculoskeletal pain. This episode is an update because if you went into PubMed and looked for a systematic review or a meta-analysis on how diet and nutrition influence or impact chronic musculoskeletal pain, you would have only found one review. I'm excited to introduce you to a researcher who is also a physiotherapist who has completed the second systematic review. It was available in the March 2020 Journal of Clinical Medicine. It's an open access paper. The title of that review is Do Nutritional Factors Interact with Chronic Musculoskeletal Pain? A Systematic Review.
My expert guest is Omer Elma. He has been a physiotherapist since 2014 and he is pursuing his PhD with the Pain In Motion research group with a focus on the link between chronic musculoskeletal pain and nutrition. We'll discuss the findings of his systematic review that investigated the interaction between nutrition and chronic musculoskeletal pain. The mechanisms of action between nutrition and pain, how diet and nutrition interact with central pain processing mechanisms. The role of the gut microbiome and its interaction between nutrition and pain. Finally, how nutritional factors affect the sensitization of the central nervous system. Let's meet Omer Elma and look at how nutrition factors influence musculoskeletal pain.
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Our expert guest is Professor Matteo Castaldo. He graduated as a physiotherapist in 2007. After a few years of practice and many courses in Manual Therapy, he decided to pursue a research PhD where they focus on chronic neck pain, chronic headache, its mechanisms and central sensitization. He's working as a post-Doctoral researcher exploring headaches and other chronic pain syndromes. He works part-time as a treating clinician specializing in headache and neck pain, as well as teaches post-graduate courses to a physical therapist and medical doctors. In this episode, you'll know all about the role of biomechanics and neck-related structures and headache type pain, how to properly assess headache and neck pain. Why physical therapy is helpful for treating these conditions and the shared mechanisms between neck pain, headache, and central sensitization.
Before we begin it, don't forget there's still time to take advantage of our summer 2020 free book giveaway. All you have to do is visit our show on Apple Podcasts and leave us a review and then fill out the form by going to the URL, www.IntegrativePainScienceInstitute.com/giveaway. I'll send you a free copy of my book, Heal Your Pain Now. Remember, there are only 50 copies available. Take advantage of this limited offer while it lasts. Let's begin and let's meet Professor Matteo Castaldo and learn about neck pain and chronic headaches.
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We are ready to head into the summer break. If you’re a physical therapist or another health professional, you can probably relate to how challenging the last few months have been and, in some ways, still are. If you look back, we’ve been through the rise of a pandemic with an infectious agent many countries and states went on lockdown or stayed home orders. Along with that, there was social distancing, mandatory mask-wearing, schools and businesses closed, things came to a halt. As professionals, we had to deal with clinics closing and the decrease of new patients and existing patients that weren’t coming in.
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My guest is Hannah Johnson. She is a clinician as well as an educator. She earned DPT in 2013, as well as a Geriatric Clinical Specialist certification in 2016. In 2018, she published her book, Psychosocial Elements of Physical Therapy in effort to fill the gap in mental health education for physical therapists and physical therapy students. Her PhD research explores how to improve interdisciplinary quality care in nursing homes. In this episode, you'll learn about the biggest obstacles in physical therapists management of complex patients. You’ll learn how residents of long-term care facilities can keep up their physical activity, as well as evidence-based supported practical strategies for managing behavior such as agitation, aggression, refusal of care and inappropriateness that are often associated with various medical, psychological and social conditions. I highly recommend you check out Hannah's book. It's an excellent resource for physical therapists and other health professionals. Without further ado, let's begin and let's meet Hannah.
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In this episode, we're discussing the neuroscience and treatment of focal dystonia. My expert guest is Dr. Nancy Byl. Dr. Byl has been a practicing physical therapist for many years. She assumed leadership as Department Chair and participated in academic development, teaching, and administration at the University of California, San Francisco's Graduate Program in Physical Therapy. As a clinician and researcher, she's an expert in the cause and treatment of focal dystonia. Working with collaborators in neuroscience, she designed an animal model to study the etiology of focal hand dystonia. She created a paradigm shift in the understanding of focal dystonia as a case of neural maladaptation of sensory and motor processing.
Using imaging techniques, her team demonstrated that learning-based sensory-motor training for patients with focal dystonia, not only improved sensory discrimination and accuracy but modify the topography of the sensory cortex, improve neuronal firing patterns and improve motor control. In this episode, you'll learn all about the cause and the treatment of focal dystonia as well as Dr. Byl's evolution as a physical therapist, both in research, academia and clinical practice. Let's get started and let's meet Dr. Nancy Byl and discuss focal dystonia.
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As always, it's an honor to be spending this time with you. If you read episode 187, then you met psychologist, Louise Sharpe, who shared her research and discuss these central components of psychological therapy for effective pain management. Her research distilled over 50 components of psychological treatment for pain into three essentials, which were psychoeducation, cognitive approaches and strategies to increase physical activity. In her paper, she named these three as the gold standard for pain care. I enjoyed this episode with Professor Sharpe. I believe her research and interview is useful and can help inform clinical practice. Make sure to give it a read before you dive into this episode.
While I was doing some research, I came across a commentary in response to the paper Professor Sharpe published. This commentary was written by Professor Lance McCracken and published in the European Journal of Pain. For those of you who may not know Lance McCracken, he is a professor of clinical psychology and Head of Division of Clinical Psychology at Uppsala University in Sweden. He has worked as a clinician and conducted research into chronic pain treatment for more than 30 years. He actively contributes to the evidence base on Acceptance and Commitment Therapy for chronic pain.
The title of his commentary was Necessary Components of Psychological Treatment for Chronic Pain: More Packages for Groups or Process-Based Therapy for Individuals. In his commentary, Professor McCracken proposes that instead of studying the components of psychological treatment, if we want better treatments for pain, what we mainly need to identify is the processes of change known to have an impact on outcomes. I was interested in Lance's commentary and his perspective, so I invited him to come to speak to us. This leads us to the episode where Professor McCracken discusses Process-Based Therapy.
Process-Based approaches have been growing. Some say that Process-Based Therapy should be the new gold standard of care because they can target a broader range of problems. In diagnosis-based protocols can target multiple problems at once and a more easily individualized and minister to the client. In this episode, you'll learn all about Process-Based Therapy, the science and evidence behind Process-Based Therapy, how it can help clinicians more effectively treat pain, and how it differs from protocols that focus on specific syndromes. Without further ado, let me introduce Professor Lance McCracken, and learn all about Process-Based Therapy.
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