Behavioral Strategies for Physicians: Managing the Difficult Pain Patient

What is a difficult pain patient?

Physician Responses

Common Questions

Effective Managment

Axis I

Why is it important to identify psychopathology?

Negative Cycle

Negative cycle

Non compliance

Psychopathology & Low Back Pain

Chronic vs. Acute Low Back Pain

Mood Disorders

Chronic Pain & Depression

Chicken or Egg? How does pain lead to depression?

Depression & Chronic Pain

Physician Strategies: Depression

Bipoloar & Chronic Pain

Physician Strategies: Bipolar

Suicidal Ideation

Suicidal Ideation

Anxiety Disorders

Prevalence of Anxiety Disorders

Anxiety & Chronic Pain

Physician Strategies: Anxiety

PTSD

PTSD

Physician Strategies: PTSD

Somatoform Disorders

Somatoform Disorders

Other Disorders: Malingering

Malingering

Rates of Apparent Lingering in Various Diagnostic Groups in Litigation

Physician Strategies: Malingering

TBI & Pain

TBI & Pain

Physician Strategies

Can psychopathology be reduced through functional restoration rehabilitation?

Physician Strategies

A little compassion can go a long way

How to Refer

Clinical Pearls