Chronic Pain Definition

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Definition:
Significant pain, with no physical cause, that disrupts the client’s life leaving them depressed and anxious which contributes to a cycle worsening the pain.
Possible Causes/Risk Factors:
Hx of physical/sexual abuse
Anxiety
Development stage

Culture and ethnicity
Sex
Personality type
Family influence


Signs and Symptoms:
Chronic pain
Anxiety about pain
Pain that cannot be linked to a physical cause or an illness (CA, trauma)

Stress R/T pain
distress/impairment in social environments
depression






















Treatment Modalities:
Cognitive Behavioral Therapy (CBT)
Medication (both prescription and OTC pain medications are ineffective)
Antidepressants
SSRIs
Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
SNRIs

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