Cognitive Behavior Therapy

Cognitive Behavior Therapy (CBT) involves a variety of techniques aimed at changing your thoughts about pain (and, in turn, your behavior patterns). A great deal of research has been done to prove the effectiveness of this type of treatment in reducing pain and distress. An example of this therapy would be decatastrophizing (learning to see that, even though things seem horrible, the pain or distress is probably being made worse by your worry, and is not as bad as it seems). An example from the behavioral aspect would be teaching patients how their daily activities may increase or reduce pain (for instance, light exercise might reduce pain, but cleaning your house might increase the pain) - such information can provide patients with a better sense of control, and reduce distress.

CBT works on the principle that peoples can alter their emotions and behaviors by examining and modifying their belief system. The A stands for activating event, B stands for beliefs, and C stands for consequences. Patients learn to accept that they can’t change life events, but if they learn to change beliefs, then the consequences may be less upsetting. It’s all about a new perspective on the same situation.

Patients learn that, while their emotions and feelings are valid, it can be problematic to use emotion as a basis for making life choices. Dr. Giardina aids patients in using facts and reason to challenge irrational beliefs and cognitive errors. By seeing the world as it is rather than as you feel it should be, you will experience better quality of life.

Pain can be chronic and constant, and if you do what you always did, you get what you always got. CBT helps show patients their patterns of choices and behaviors, and how to take back control by recognizing self-created distress. Often, pain can be lessened by anticipating certain patterns and either properly preparing for, or avoiding, the instigating situation. Empowerment is vital in pain management, as is taking responsibility for your choices.