The New Rules for Treating Chronic Pain

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Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

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Speaker

Stephen F. Grinstead, DR AD, LMFT, ACRPS Related seminars and products

Grinstead Consultation, Training & Empowerment Coaching

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Stephen F. Grinstead, Dr AD, LMFT, ACRPS, has a Bachelor’s Degree in Behavioral Science, a Master’s Degree in Counseling Psychology and a Doctorate in Addictive Disorders (Dr. AD). He is a Licensed Marriage and Family Therapist, (LMFT) a past California Certified Alcohol and Drug Counselor (CADC-II), a Certified Denial Management Specialist (CDMS), and an Advanced Relapse Prevention Specialist (ACRPS). He served on the faculty of UC Santa Cruz Extension Alcohol and Drug Studies Program, taught at Santa Clara University, UC Berkeley Extension and Stanford University Medical School, and served on the faculty of University of Utah’s School on Alcoholism and Other Drug Dependencies, as well as serving as an Adjunct Professor at Alliant University. From 2015 to 2018, Dr. Grinstead was the Co-Founder and Chief Clinical Officer of a Triple Diagnosis Residential and Intensive Outpatient Chronic Pain Management Program in California. He is author of the book Thank You Adversity for Yet Another Test: A Body Mind Spirit Approach for Relieving Chronic Pain Suffering, as well as author of several other pain management books including Freedom from Suffering: A Journey of Hope, Managing Pain, Coexisting Disorders, and the Addiction-Free Pain Management® Recovery Guide. Dr. Grinstead is an internationally recognized expert in preventing relapse related to addiction and chronic pain disorders and is the developer of the Evidence-Based Addiction-Free Pain Management® System. He has been working with chronic pain management, substance use disorders, eating addiction and coexisting mental and personality disorders since 1984. Since 1996, he has trained well over 40,000 healthcare providers in seminars, workshops and trainings across the United States and Canada.

Speaker Disclosures:
Financial: Dr. Stephen Grinstead maintains a private practice and has employment relationships with Gorski-CENAPS Corporation, E Care Behavioral Institute, and Jack Hirose and Associates. He receives royalties as a published author. Dr. Grinstead receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Stephen Grinstead is a member of the American Society of Addiction Medicine, International Association of Pain Management, and the National Association of Alcohol and Drug Addiction Counselors.

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Objectives

1. Investigate two or more reasons why the biomedical approach alone may be ineffective for the low outcome subset of chronic pain clients with coexisting disorders.
2. Evaluate three successful chronic pain management treatment outcomes.
3. Differentiate between the physiological and psychological/emotional pain symptoms and have appropriate management strategies for both types.
4. Develop a treatment plan that helps clients let go of suffering and adequately addresses the psychological/emotional symptoms of their pain.
5. Analyze the needs of clients as they explore the correlation of increased stress and worsening levels of pain and how to develop appropriate relaxation response skills to reduce their levels of stress and the perception of their pain.
6. Categorize at least five of the twelve denial patterns (psychological defense mechanisms) that can sabotage treatment outcomes.

Outline

• Differentiating between acute and chronic pain
• Understanding neuropathic pain
• Managing recurrent acute pain aka Pain Flare Ups
• Moving beyond anticipatory pain
• Making peace with chronic pain

• Mistreated or undertreated chronic pain
• Over-utilization of the traditional biomedical model
• The Synergistic impact of chronic pain and unidentified and/or untreated coexisting disorders
• The misapplication or lack of MAT
• Lack of integrated Body-Mind-Spirit treatment approaches

• Substance misuse, abuse, pseudo addiction or addiction
• Unresolved trauma history (PTSD)
• Anxiety Disorders including social anxiety disorders
• Depression including bipolar disorders
• Cognitive impairment from living with high levels of untreated pain

• The need to normalize and depathologize denial
• Understanding denial as a part of the human condition
• The role of the “Inner Saboteur” in failed treatment outcomes
• Learn how to identify and manage the 12 denial patterns and treatment resistance

• Identifying and implementing:
• Biological treatment interventions
• Psychological treatment Interventions
• Social/Family/Cultural treatment Interventions
• Spiritual treatment interventions

• Implement Pre-Pre-Post treatment outcome measures
• Empower clients to become proactive participants in their own healing process
• Relapse prevention and continue care plans for chronic pain, opioid use disorders and psychological disorders
• Ongoing plans to increase levels of functioning and improve quality of life

Target Audience

• Social Workers
• Counselors
• Psychologists
• Addiction Counselors
• Community Mental Health Workers
• Psychiatrists
• Marriage and Family Therapists
• Occupational Therapists
• Occupational Therapy Assistants
• Physical Therapists
• Physical Therapist Assistants
• Nurse Practitioners
• Nurses
• Case Managers
• Other Helping Professionals

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