Why see a Psychologist for pain?

Chronic pain is one example of the link between mind and body. Modern research into persistent pain shows that psychological and emotional elements can play a major role. These non-physical components cause the brain to ‘learn’ to be in pain and re-wire the body’s nervous system to be more sensitive to what in other circumstances would be normal situations and stressors.

Psychological treatment treats pain directly by addressing heightened mental and physical stress.

For many people with chronic pain, the nervous system has learnt to be hypersensitive and to overprotect in response to normal situations, inputs and stressors. Effectively managing stress is an important part of working with chronic pain.

Psychological treatments for pain can help alter how your brain processes pain sensations. One way to do this is to learn to challenge any unhelpful thoughts you have about pain. Negative, unhelpful, unrealistic thoughts can lead to increased perception of pain, anxiety, anger and depression, social isolation and withdrawal, lower activity, over-reliance on pain medications and poor sleep.

What can I expect at appointments?

When working with a Psychologist, you can expect first a discussion about your physical and emotional health. The Psychologist will ask about the pain you experience, where and when it occurs, and the factors that affect it. They will likely ask you to discuss the things that worry you or cause stress, including those related to your pain. According to this information, a treatment plan can be created for you. 

During each session, you will work together with your Psychologist to identify goals to work on, and you will receive some scientific information about chronic pain and mental health, and about the broader lifestyle factors that can impact on psychological wellbeing (e.g., sleep). You will learn and practise new techniques and skills to use in your everyday life and you will be given some homework to do prior to your next appointment. Together, you and your Psychologist will keep track of your progress and work on a long-term plan that works for you.