Think your pain away, why meds may not be enough

By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Coping with pain.
Photo courtesy of Pixabay.com

If being mentally healthy will reduce your physical pain why is it a last resort?

Prescription drug use in America is at an all-time high. So is the abuse of prescription drugs. With more and stronger medications always being introduced why do so many Americans report chronic pain?

Doctors will prescribe all sorts of medication, sometimes even surgery, but when all else fails they will often refer the patient to counseling or a mindfulness class. Why is working on your thinking a last resort?

We know if you think about your pain, really concentrate on what is ailing you the pain grows in importance. It may even take over your life. This effect is true for both mental and physical pain.

Some simple mental techniques have been repeatedly shown to reduce the impact of pain and lessen the disability caused by those pains.

We know that those old pain involved expressions carry a lot of truth.

You are a pain in the neck – People who fit that description makes us feel sore in the neck region.

You make me sick – People who are disagreeable can affect our sleep and digestion.

We know from personal experience that dysfunctional interpersonal relationships can cause real physical pain. Learning to change or accept things in our life can go a long way towards managing our pain, both physical and mental.

Has there ever been a time when you were in serious pain and then something fun, a happy event occurred? For that brief time, you discover that you forget about your pain. Watching a funny program can reduce the feelings of sadness that are plaguing us.

In an earlier post, I wrote about “Don’t think about Elephants.” The process of trying not to think about a thing actually can make that item harder to forget. We find that rather than trying to not think about the pain, the pain in the back, or the pain in the heart, we need to focus on things that are helpful and positive.

Hospitals with chronic pain clinics have found that classes in exercise, yoga especially, mindfulness, and other calming techniques can reduce pain for patients who had found no relief via the medication or surgery approaches.

Yoga and mindfulness are not some metaphysical hocus-pocus. As it was explained to me mindfulness is nothing more than paying attention to what you are doing. Make sure that you are walking when you walk instead of brooding about your troubles.

And yoga? What about that? One instructor told me that yoga is just exercising while breathing. If you didn’t focus on improving your breathing, yoga would just be another type of calisthenics.

Something as simple as walking each day can have a significant effect on depression.

Learning to breathe, relax, and clear your mind, can be especially helpful in reducing the stress and tension in the body.

So consider including some work on your thinking and your body as part of any pain management program. As always talk with your doctor before making any sudden changes but let that doctor know you are open to some counseling or exercise if that might help control your pain.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

Overcoming anxiety by computer

By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Computer

Internet.
Photo courtesy of Pixabay.com

Treating anxiety by Computer.

There is an interesting new study on an experimental treatment for anxiety using an interactive computer program. The study, done in Israel and partially funded and conducted by U. S. researchers looked at treating teenagers for anxiety using a new computerized treatment. Anxiety disorders are the most common mental health diagnoses in America and approximately 25% of teens are diagnosed with an anxiety disorder at some point in their teenage years.

Cognitive Behavioral Therapy (CBT) is commonly used to treat anxiety disorders and has been shown to be especially successful at reducing anxiety symptoms. About 70% of the time CBT reduces or eliminates anxiety symptoms in children and teens. Unfortunately, CBT treatment is not available to all the teens that need it. Without therapy, the only alternatives are medications, which may have strong and permanent side effects or letting the child suffer untreated. Most adults who suffer from anxiety disorders first experienced the symptoms as children or teens but the symptoms when untreated or undertreated.

Why factors might explain why CBT helps only 70% of those who go for therapy? How can we explain that a computer program worked to treat anxiety disorders?

People with anxiety disorders unconsciously pay more attention to threatening things than non-anxious people. Paying attention to threats and having some anxiety is protective when you are in a dangerous situation. The problem for chronic anxiety sufferers is that they pay too much attention to threats in situations that are not that threatening. People with anxiety disorders have difficulty moving their focus from a potential threat to another non-threatening item.

Now this problem of focusing on the negative is not limited to anxiety provoking things. The same principle has turned out to be effective for treating chronic pain and depression. People with chronic pain are extra attuned to their pain. They tend to focus on the pain to the exclusion of everything else.

When people with chronic pain are taught to focus on other things, pleasant positive things and they learn techniques to shift their focus from the pain to something positive they report the pain is reduced or eliminated. When you are having fun you forget your pain if only for a moment. This ability to shift focus also may explain why laughter and jokes are also an effective treatment for reducing symptoms of many common mental health problems.

Reducing symptoms is not the same as a permanent cure. But not having anxiety or pain even for a while is a great thing. And the more the symptoms are reduced the more likely you will be able to live with your condition. Recovery from many conditions does not mean completely eliminating the problem. Recovery may mean for some people an improvement in their quality of life.

We have known that thinking has a huge impact on feelings for a very long time. People with a negative bias, they think everything about themselves, the world, and the future is bad, are more likely to be depressed.

So if you are anxious, depressed, or in a lot of pain and your current treatment is not helping, consider working on changing the things you focus on. Working with a good counselor or therapist can help you learn to shift focus. So can a good self-help book.  However, you learn the techniques you will need to practice shifting your focus from the negative problem-based view to the positive recovery and resiliency point of view. My thought is that the computer-based system helped people with excess anxiety because it included a lot of practice at changing their focus in a short period of time. Even without the computer program, the more you practice shifting your attention the better you can become about changing the way you look at things.

The full article on the computer based anxiety treatment experiment is available at the NIMH site.

http://www.nimh.nih.gov/science-news/2012/computer-based-treatment-eases-anxiety-symptoms-in-children.shtml

Try this experiment, try shifting the things you pay attention to and see if your anxiety, pain, or depression shrinks. If you do this experiment leave a comment on this blog and let the rest of us know how it worked out.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel