Pain (Acute Pain And Chronic Pain)

Pain is a complex psychological experience involving sensory and affective components. Human beings are able to reflect upon what they are experiencing, and psychologists often attend to an individual’s cognitions (thoughts, beliefs, images, memories) around their pain—what the pain means for this individual—and suffering that is associated with these cognitions. Evidence-based psychological approaches for pain include acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), and hypnosis. Read more

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55 of 55 resources

Self-Sacrifice

Schema therapy posits that psychological difficulties stem from early maladaptive schemas (EMS) and clients’ characteristic responses to them, refer ... https://www.psychologytools.com/resource/self-sacrifice/

Unhelpful Thinking Styles (Archived)

NOTE: Two improved versions of this resource are available here: Cognitive Distortions – Unhelpful Thinking Styles (Common) and Cognitive Disto ... https://www.psychologytools.com/resource/unhelpful-thinking-styles-archived/

Emotions Motivate Actions

Many clients find it helpful to recognize the range of actions that are motivated by different emotional states. This worksheet encourages clients to ... https://www.psychologytools.com/resource/emotions-motivate-actions/

Audio Collection: Psychology Tools For Relaxation

The Psychology Tools For Relaxation Audio Collection is designed to help anyone experiencing stress or heightened physiological arousal. The audio col ... https://www.psychologytools.com/resource/psychology-tools-for-relaxation-audio-collection/

Activity Menu

Helping clients to choose which activities to target during behavioral activation (BA) can be accomplished in a variety of ways: activity monitoring c ... https://www.psychologytools.com/resource/activity-menu/

Vulnerability To Harm

Behavioral Experiment

Behavioral experiments are planned experiential activities to test the validity of a belief. They are one of the most powerful techniques available to ... https://www.psychologytools.com/resource/behavioral-experiment/

Behavioral Experiment (Portrait Format)

Behavioral experiments allow individuals to test the validity of their beliefs and assumptions. They are a core experiential technique for therapeutic ... https://www.psychologytools.com/resource/behavioral-experiment-portrait-format/

Progressive Muscle Relaxation

Progressive relaxation training originated in the 1930’s as a treatment for tension and anxiety. Edmund Jacobsen developed a systematic and lengthy ... https://www.psychologytools.com/resource/progressive-muscle-relaxation/

Fear Ladder

The Fear Ladder is a tool for exploring and ranking the contexts or situations in which a client experiences fear. It is designed to help the client a ... https://www.psychologytools.com/resource/fear-ladder/

Audio Collection: Psychology Tools For Mindfulness

The Psychology Tools For Mindfulness Audio Collection is the perfect way to introduce your clients to the practice of mindfulness. Developed by a clin ... https://www.psychologytools.com/resource/psychology-tools-for-mindfulness-audio-collection/

Evaluating Unhelpful Automatic Thoughts

The Evaluating Unhelpful Automatic Thoughts guide is written for clients who struggle with negative automatic thoughts. It provides a comprehensive in ... https://www.psychologytools.com/resource/evaluating-unhelpful-automatic-thoughts/

Values: Connecting To What Matters

Values: Connecting To What Matters is a practical self-help guide which introduces the reader to a cornerstone of acceptance and commitment therapy (A ... https://www.psychologytools.com/resource/values-connecting-to-what-matters-full-guide/

Valued Domains

Values are the “principles for living” that capture what matters most to people. Elucidating values can serve many therapeutic functions, such as ... https://www.psychologytools.com/resource/valued-domains/

Activity Planning

Research suggests that an activity is more likely to be completed if it is planned and scheduled in advance. The Activity Planning worksheet can be us ... https://www.psychologytools.com/resource/activity-planning/

Choosing Your Values

Values are the “principles for living” that capture what matters most to people. Elucidating values can serve many therapeutic functions, includin ... https://www.psychologytools.com/resource/choosing-your-values/

Emotional Deprivation

Sleep Diary

Many clients report that their sleep is disturbed, and this can be a cause or consequence of many mental health conditions. This Sleep Diary enables c ... https://www.psychologytools.com/resource/sleep-diary/

Exploring Valued Domains

Activity Diary (Hourly Time Intervals)

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/activity-diary-hourly-time-intervals/

Mistrust/Abuse

Progressive Muscle Relaxation (Audio)

Progressive Muscle Relaxation is an audio exercise from the Psychology Tools For Overcoming PTSD Audio Collection. It is designed to help anyone exper ... https://www.psychologytools.com/resource/progressive-muscle-relaxation-audio/

[Free Guide] An Introduction To Values

People’s lives feel unfulfilling or directionless if they’re not guided by values. An Introduction to Values is a practical self-help guide design ... https://www.psychologytools.com/resource/an-introduction-to-values/

Pessimism

Dependence / Incompetence

Punitiveness

Pacing For Pain And Fatigue

Pacing is an evidence-based approach to increasing activity and fitness, and in reducing overall pain and fatigue. It is designed to prevent 'boom and ... https://www.psychologytools.com/resource/pacing-for-pain-and-fatigue/

Developing Psychological Flexibility

Acceptance and Commitment Therapy (ACT) proposes that suffering is associated with psychological inflexibility. ACT suggests that to increase psycholo ... https://www.psychologytools.com/resource/developing-psychological-flexibility/

Health Anxiety Thought Record

Individuals with health anxiety experience clinically significant distress associated with health concerns. This thought-challenging record enables cl ... https://www.psychologytools.com/resource/health-anxiety-thought-record/

Combined Relaxation Exercise (Audio)

The Combined Relaxation Exercise is an audio track from the Psychology Tools For Relaxation Audio Collection. It is designed to help anyone experienci ... https://www.psychologytools.com/resource/combined-relaxation-exercise-audio/

Body Scan (Audio)

The Body Scan is a mindfulness exercise encouraging present-moment awareness, with the sensations of the body being used as an anchor for mindful atte ... https://www.psychologytools.com/resource/body-scan-audio/

Progressive Muscle Relaxation (Archived)

NOTE: An improved version of this resource is available here: Progressive Muscle Relaxation. Older versions of a resource may be archived in the event ... https://www.psychologytools.com/resource/progressive-muscle-relaxation-edition-1/

Avoidance Hierarchy (Archived)

NOTE: An improved version of this resource is available here: Fear Ladder. Older versions of a resource may be archived in the event that they are ava ... https://www.psychologytools.com/resource/avoidance-hierarchy/

Externalizing

The Externalizing information handout forms part of the cognitive distortions series, designed to help clients and therapists to work more effectively ... https://www.psychologytools.com/resource/externalizing/

Mindfulness Of Breath (Short Version) (Audio)

Mindfulness Of Breath (Short version) is a mindfulness exercise encouraging present-moment awareness, using the breath as an anchor for the attention. ... https://www.psychologytools.com/resource/mindfulness-of-breath-short-version-audio/

Relaxed Breathing Exercise 1 (Audio)

Relaxed Breathing Exercise 1 is an audio track from the Psychology Tools For Overcoming PTSD Audio Collection. The aim of this breathing exercise is t ... https://www.psychologytools.com/resource/relaxed-breathing-exercise-1-audio/

Activity Diary (No Time Intervals)

Identifying The Meaning Of Body Sensations

Some anxiety disorders (including panic and health anxiety), are concerned with body sensations and symptoms. The Identifying The Meaning Of Body Sens ... https://www.psychologytools.com/resource/identifying-the-meaning-of-body-sensations/

Jumping To Conclusions

The Jumping to Conclusions information handout forms part of the cognitive distortions series, designed to help clients and therapists to work more ef ... https://www.psychologytools.com/resource/jumping-to-conclusions/

Cognitive Behavioral Model Of Fear Of Body Sensations

Fear of bodily sensations is present in a number of conditions, most notably panic disorder. The Cognitive Behavioral Model Of Fear Of Bodily Sensatio ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-fear-of-body-sensations/

Mindfulness In Everyday Life (Audio)

Mindfulness In Everyday Life is a short mindfulness exercise which guides clients how to bring present-moment awareness into everyday life. This audio ... https://www.psychologytools.com/resource/mindfulness-in-everyday-life-audio/

Exercise For Mental Health

Exercise is an evidence-based treatment for depression and anxiety and research suggests that, in the treatment of depression, exercise interventions ... https://www.psychologytools.com/resource/exercise-for-mental-health/

Mindfulness Of Breath (Long Version) (Audio)

Mindfulness Of Breath (Long version) is a mindfulness exercise encouraging present-moment awareness, using the breath as an anchor for the attention. ... https://www.psychologytools.com/resource/mindfulness-of-breath-long-version-audio/

Being With Difficulty (Audio)

Being With Difficulty is a mindfulness exercise which gently brings present-moment awareness to bear upon thoughts and feelings that are more difficul ... https://www.psychologytools.com/resource/being-with-difficulty-audio/

Pain Diary

Self-monitoring of thoughts, feelings, and symptoms is an essential skill for clients engaged in cognitive behavioral therapy (CBT). In this Pain Diar ... https://www.psychologytools.com/resource/pain-diary/

Mindfulness Of Sounds And Thoughts (Audio)

Mindfulness Of Sounds And Thoughts is a mindfulness practice exercise that encourages relating to thoughts as ‘just thoughts’ that come and go in ... https://www.psychologytools.com/resource/mindfulness-of-sounds-and-thoughts-audio/

Pain Activity Diary

Activity diaries are a crucial information-gathering tool. They can be used for activity monitoring during an assessment phase of therapy, symptom mon ... https://www.psychologytools.com/resource/pain-activity-diary/

Thinking Versus Sensing (Audio)

Thinking Versus Sensing is a short mindfulness exercise to demonstrate the difference between thinking about our experience and sensing it directly. E ... https://www.psychologytools.com/resource/thinking-versus-sensing-audio/

Relaxed Breathing Exercise 2 (Audio)

Relaxed Breathing Exercise 2 is an audio track taken from the Psychology Tools For Overcoming PTSD Audio Collection. The aim of this breathing exercis ... https://www.psychologytools.com/resource/relaxed-breathing-exercise-2-audio/

What Does Exercise Do For the Mind And Body?

Exercise is an evidence-based treatment for depression and anxiety and research suggests that in the treatment of depression, exercise interventions l ... https://www.psychologytools.com/resource/what-does-exercise-do-for-the-mind-and-body/

Mindful Attention (Audio)

The Mindful Attention exercise is an audio track from the Psychology Tools For Overcoming PTSD Audio Collection. This audio track was originally recor ... https://www.psychologytools.com/resource/mindful-attention-audio/

VAS Scale

Visual analogue scales (VAS's) can be used for subjective ratings of emotion or other sensations such as pain. This is a handy VAS scale in the style ... https://www.psychologytools.com/resource/vas-scale/

Relaxed Breathing Exercise 4 (Audio)

Relaxed Breathing Exercise 4 is an audio track from the Psychology Tools For Overcoming PTSD Audio Collection. Slow, relaxed, diaphragmatic breathing ... https://www.psychologytools.com/resource/relaxed-breathing-exercise-4-audio/

Relaxed Breathing Exercise 3 (Audio)

Breathing Exercise 3 uses the imagery of breathing air of different colours to help the listener make their breathing slower, deeper, and more regular ... https://www.psychologytools.com/resource/relaxed-breathing-exercise-3-audio/

Raisin Exercise (Audio)

The Raisin Exercise is a short mindfulness exercise encouraging present-moment awareness of the senses, connecting with taste, touch and smell while y ... https://www.psychologytools.com/resource/raisin-exercise-audio/

Links to external resources

Psychology Tools makes every effort to check external links and review their content. However, we are not responsible for the quality or content of external links and cannot guarantee that these links will work all of the time.

Assessment

Chronic Pain Acceptance Questionnaire – Revised (CPAQ-R) | McCracken, Vowles, Eccleston | 2004
- Scale
  Primary Link Archived Link
- Reference McCraken, L. M., Vowles, K. E. & Eccleston, C. (2004). Acceptance of chronic pain: component analysis and a revised assessment method. Pain, 107, 159-166.
Illness Perception Questionnaire – Revised (IPQ-R) | Weinman, Petrie, Moss-Morris, Horne | 2002
- Scale
  Primary Link Archived Link
- Reference Moss-Morris, R., Weinman, J., Petrie, K., Horne, R., Cameron, L., & Buick, D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology and health, 17(1), 1-16.

Information Handouts

The Pain Toolkit – a helpful toolkit for people who live with persistent pain | Pete Moore, Dr Frances Cole | 2009
Archived Link
Back pain management program: Pacing activities | Cambridge University Hospitals NHS
Archived Link
Improve your functioning through effective pacing | Dr Williams, Dr Carey | 2003
Archived Link

Information (Professional)

Acceptance and commitment therapy in the treatment of chronic pain | Dahl, Lundgren
Primary Link Archived Link

Presentations

Pain management: application of cognitive behavioral methods | Michael Nicholas
Primary Link Archived Link
Lecture on fear avoidance in chronic pain | Johan Vlayen | 2008
Archived Link
A multidisciplinary facial pain service | Sarah Baker
Primary Link Archived Link
Acceptance and Commitment Therapy (ACT) and Chronic Pain | Lance McCracken | 2015
Primary Link

Self-Help Programmes

When Panic Attacks (Workbook) | Centre For Clinical Interventions | 2023
- Module 1: Overview Of Panic
  Primary Link
- Module 2: What Keeps Panic Disorder Going
  Primary Link
- Module 3: Overcoming Thoughts About Panic
  Primary Link
- Module 4: Coping With Physical Alarms
  Primary Link
- Module 5: Facing Feared Situations
  Primary Link
- Module 6: Dropping Safety Behaviors
  Primary Link
- Module 7: Maintaining Your Gains
  Primary Link

Treatment Guide

Guidelines for pain management programmes for adults | British Pain Society | 2013
Primary Link Archived Link
Life with chronic pain: an acceptance-based approach (Therapist guide and patient workbook) | Kevin Vowles, Sohn Sorrell | 2007
Primary Link Archived Link
Cognitive behavioral therapy for chronic pain – therapist manual | Murphy, McKellar, Raffa, Clark, Kerns, Karlin
Primary Link Archived Link
ACT for chronic pain | Lance McCracken | 2015
Primary Link Archived Link

What Is Pain?

Signs and Symptoms of Acute and Chronic Pain

Pain is a multisensory experience with sensory and affective components. Sensory components of pain describe where the pain is, what it feels like, and how strong it is. Affective components of pain describe how the pain makes us feel. Therapists working with pain patients also find it helpful to assess and work with the behavioral, cognitive, functional, and social effects of pain.

Psychological Models and Theory of Acute and Chronic Pain

Fear-Avoidance Model of Chronic Pain

The fear-avoidance model of chronic pain (Vlaeyen & Linton, 2000) describes a trajectory followed by individuals experiencing acute pain who may become trapped in a vicious cycle of chronic disability and suffering. As a cognitive model it proposes that the appraisals pain patients form concerning their pain can lead to sequences that end in avoidance, deconditioning, and further pain and suffering. The fear-avoidance model of chronic pain is empirically well-supported but it has been argued that the next generation of the model needs to add motivational components including goals and self-regulatory processes (Crombez et al, 2012).

Acceptance and Commitment Therapy (ACT) Model of Chronic Pain

ACT is a transdiagnostic approach to human difficulties that is popular among clinicians working with pain.

“The basic premise of ACT as applied to chronic pain is that while pain hurts, it is the struggle with pain that causes suffering … continuing attempts to control pain may be maladaptive, especially if they cause unwanted side effects or prevent involvement in valued activities, such as work, family, or community involvement” (Dahl & Lundgren, 2015).

References

Crombez, G., Eccleston, C., Van Damme, S., Vlaeyen, J. W., & Karoly, P. (2012). Fear-avoidance model of chronic pain: The next generation. The Clinical Journal of Pain, 28(6), 475–483.
Dahl, J., & Lundgren, T. (2015). Acceptance and commitment therapy in the treatment of chronic pain. Retrieved from: https://www.div12.org/wp-content/uploads/2015/06/ACT-in-the-treatment-of-chronic-pain.pdf
Vlaeyen, J. W. S., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85(3), 317–332.

Pain (Acute Pain And Chronic Pain)

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What Is Pain?

Signs and Symptoms of Acute and Chronic Pain

Psychological Models and Theory of Acute and Chronic Pain

Fear-Avoidance Model of Chronic Pain

Acceptance and Commitment Therapy (ACT) Model of Chronic Pain

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