Chronic Pain Essay

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Adapted from
1. Dahl, Wilson, Luciano, and Hayes (2005) Acceptance and Commitment Therapy for Chronic Pain
2. Dahl and Lundgren (2006) Living Beyond Your Pain: Using Acceptance and Commitment Therapy to Ease Chronic Pain
3. Vowles & Sorrell (2007) Life with Chronic Pain: An Acceptance-based Approach: Therapist Guide and Patient Workbook

Session 1

1. Validation of suffering and consequential loss of life quality (due to pain from injury or chronic pain)
A. Understand back story and get to know the client’s current situation
B. If they are suffering from chronic pain, gain an understanding of the impact it has had on their life from all perspectives (work, school, family, leisure, etc…)
2. Values
A. What are values?
B. Create life compass
…show more content…
Mega visualization: Funeral exercise
2. Exercises in cognitive defusion:
A. Leaf on a Stream Metaphor
3. Willingness to feel discomfort (relate to values)
A. Revisit Willingness Question from Beginning
B. What is Willingness?
C. Joe the Bum Metaphor?
D. The Bubble in the Road Metaphor:
4. Exposure exercises: Mindfulness
A. Goal of Mindfulness: Operating in your life from the observer self.
B. When to Practice
C. Where to Practice
D. How to Practice
E. Mindfulness Exercises: (important to present multiple options to patients and let them know to choose what works best for them)
• Handout on Being in the Moment
• Handout on Mindfulness Body Scan
• Mindful Walking
• Mindful Journaling
5. Homework:
A. Complete the exercise: Observer-self exercise (optional)
B. Practice Mindfulness and Cognitive Defusion Throughout the Week
C. Continue to Do Something throughout the week that is consistent with you values – physical therapy home exercises!

Session 4
1. Values:
A. Begin with asking what they did this week to live consistently with their values (also review homework)
B. Reintroduce Willingness and Values
C. Complete the Willingness and Commitment Worksheet: Try to use the value of physical self care in relation to physical

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