Interdisciplinary pain care
Interdisciplinary pain management involves a team approach to managing persistent pain, including pain specialists, physical therapists, psychologists, and other healthcare professionals. This approach can help address the physical, emotional, and psychological aspects of pain and anxiety.
Cognitive behavioral therapy (CBT)
CBT is a form of therapy that helps individuals identify and change negative thought patterns and behaviors that contribute to anxiety and pain. It has been shown to be effective in managing anxiety associated with persistent pain.
Mindfulness-based stress reduction (MBSR)
MBSR is a meditation-based therapy that helps individuals focus on the present moment and reduce stress and anxiety. It has been shown to be effective in managing anxiety associated with chronic pain.
Various relaxation techniques, such as deep breathing, progressive muscle relaxation, and guided imagery, can help reduce anxiety and improve overall well-being.
Physical therapy can help improve mobility and function, reduce pain, and manage anxiety associated with persistent pain. A physical therapist can develop an exercise program and other strategies to address specific symptoms and promote healing.
Biofeedback is a technique that involves monitoring physiological responses such as heart rate, muscle tension, and skin temperature, and using that information to learn how to control those responses. It can be helpful in managing anxiety associated with persistent pain.
Antidepressants and anxiolytics may be prescribed to help manage anxiety symptoms. These medications work by altering the levels of certain chemicals in the brain that affect mood and anxiety.
Certain types of antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), can help reduce anxiety symptoms in individuals with chronic pain.
Beta-blockers, such as propranolol, can help reduce physical symptoms of anxiety, such as heart palpitations and sweating.
Benzodiazepines, such as diazepam and clonazepam, are a type of sedative medication that can be used to treat anxiety associated with chronic pain. However, they are often prescribed with caution due to their potential for dependence and addiction.
Pregabalin is an anticonvulsant medication that is often used to treat neuropathic pain, but it can also help reduce anxiety symptoms in individuals with chronic pain.
Tricyclic antidepressants, such as amitriptyline and nortriptyline, can help reduce anxiety symptoms as well as provide pain relief.
Atypical antipsychotics, such as olanzapine and quetiapine, may be used to treat anxiety associated with chronic pain. They are used particularly in individuals with a history of trauma associated with sleeping difficulties who have not responded to other medications.