Prescription and nonprescription pain medications often do not work very well. These medications also can have side effects, and may carry the risk for abuse.
Chronic pain syndromes of all types can often be treated with antidepressants and talk therapy.
Cognitive behavioral therapy (CBT), a kind of talk therapy, can help you deal with your pain. During therapy, you will learn:
Antidepressant medications also often help with both the pain and the worry surrounding the pain. Commonly used antidepressants include:
Some patients may not believe that their pain is connected to emotional factors and may refuse these treatments.
Supportive measures that also can be helpful include:
People with this disorder may benefit from treatment at pain centers.
The outlook is worse for patients who have had symptoms for a long time. Your outlook will improve if you can start doing your previous activities, even with the pain.
Seeking out a mental health professional who has experience treating people with chronic pain has been shown to improve outcomes.
Call your health care provider if you or your child experiences chronic pain.
Greenberg DB, Braun IM, Cassem NH. Functional somatic symptoms and somatoform disorders. In: Stern TA, Rosenbaum JF, Fava M, Biederamn J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier;2008:chap 24.
WitthÃ¶ft M, Hiller W. Psychological approaches to origins and treatments of somatoform disorders. Annu Rev Clin Psychol. 2010;6:257-283.
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