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Archive for October, 2008

The Role of Eating Addiction in Chronic Pain Management

Monday, October 13th, 2008

I finally received the published copy of my latest book “The Eating Addiction Relapse Prevention Workbook” that I co-authored with Dr. Shari Corbitt.  At a relapse prevention training I conducted for recovering healthcare providers this past weekend we sold many copies to people who had their chronic pain management impacted by eating addiction problems. 

I first noticed this dynamic almost 20 years ago when I was working with people with chronic pain and coexisting addiction in an inpatient treatment hospital in Campbell California.  We would get peoples addictive disorder in remission and their pain managed effectively but many of them started using food to sooth and cope instead of just for fuel.  The results would eventually lead to a pain flare up and or a relapse episode with the addiction.

The Eating Addiction Relapse Prevention Workbook

I completed the first Food Addiction Workbook in 2001 but this year I wanted to address the entire spectrum of “Eating” and asked Dr. Shari Stillman-Corbitt, the Clinical Director of Sierra Tucson to co-author The Eating Addiction Relapse Prevention Workbook. Dr. Corbitt brought a long history of working with eating disordered patients to our project and we believe it is now a much better instrument to help people with eating addictions to get and stay in a true recovery process.

The Eating Addiction Relapse Prevention Workbook is designed to increase patients’ knowledge and understanding of the nature of eating addiction. Some people may be a normal weight, if their metabolism is such that they don’t gain weight, or some of them may purge calories through excessive exercise. However, many of them will probably be overweight, or “see-sawing” up and down, as they try first one magic pill, diet or program, and then another. Some of them may be obese, the definition of which means that they are more than 20 percent over the weight suggested by actuarial tables. These people may know that they are destroying and distorting their body, but be unable to stop eating compulsively.

This workbook is for compulsive overeaters, food addicts and binge eaters. These terms describe people who use eating and food to manage feelings and cope with life. Although the primary purpose of this workbook is to help patients develop a relapse prevention plan and create a schedule of activities to assist in that goal, we believe they must first develop a definition of abstinence that works for them and an effective recovery plan that is life enhancing which we refer to in this workbook as a Healthy Living Plan.

The first six exercises in this book are designed to take patients through a series of steps to make sure that they are stable in their recovery. Some of them may already be working a solid recovery program but we believe these exercises can also benefit them. The last five exercises help patients identify and manage high risk situations that could set them up for relapse despite their commitment to their Healthy Living Plan (recovery) and develop an effective recovery plan designed to help them manage those high risk situations.

The Eating Addiction High Risk Situation List

To read more about the workbook please go to my article Eating Addiction Needs a Strategic Relapse Prevention Protocol that you can download for free on our Articles page. To purchase this book or the Eating Addiction High Risk Situation List Pamphlet please Click Here. 

If you want to learn more about the Addiction-Free Pain Management® System please check out our website at www.addiction-free.com. To learn more about how to develop an effective chronic pain management plan please go to our Publications page and check out my book the Addiction-Free Pain Management® Recovery Guide: Managing Pain and Medication in Recovery.

To look for my upcoming trainings please go to our Calendar page.

To read our latest Chronic Pain Solutions Newsletter please click here.   To sign up for Chronic Pain Solutions, please click here and input your name and email address. You will then receive an autoresponse email that you need to reply to in order to finalize enrollment.
 

APM™ Goes to New York City to Introduce our Multidisciplinary Chronic Pain Management System

Friday, October 10th, 2008

I’ve just completed a three day 20 hour Addiction-Free Pain Management® (APM) Certification training in Manhattan.  I was very pleased to have representatives from both or our APM™ Center of Excellence partners join us at the training. 
Click Here to read more about our APM™ Center of Excellence Program.

The Sierra Tucson Pain Program has already met over 90 percent of the APM™ Center of Excellence (COE) requirements and at the end of January 2009 will move from Provisional status to full APM™ COE Designation. Valley Forge Medical Center and Hospital is about 6 months behind Sierra Tucson and should have their final designation by July 2009.  Both programs treat patients who have failed at many other treatment modalities; they help them find hope, experience an increased level of functioning and a much improved quality of life.

We have three more of these APM™ Certification trainings coming up during the next two months.  The next one is in Houston at the end of this month then Tampa in early November and finally in Dallas the week before Thanks Giving.  To learn more please go to our Calendar page.

To listen to a recent radio interview I did conducted by Mary Woods for her program One Hour at a Time please Click Here to go to this interview.

You can learn more about the Addiction-Free Pain Management® System at our website www.addiction-free.com. If you are working with people in chronic pain and want to learn how to develop a plan for managing their pain and medication effectively go to our Publications page and check out my book the Managing Pain and Coexisting Disorders: Using the Addiction-Free Pain Management® System. To purchase this book please Click Here.

To read the September Issues of Chronic Pain Solutions Newsletter please Click here. If you want to sign up for the newsletter, please Click here and input your name and email address. You will then recieve an autoresponse email that you need to reply to in order to finalize enrollment.

Treating Depression is Crucial for Effective Chronic Pain Management

Tuesday, October 7th, 2008

Psychological problems can develop as a direct result of living with chronic pain and/or long-term pain medication treatment.  These problems are serious and often sabotage peoples’ ability to receive adequate pain management treatment. 

There are four major areas that tend to impact chronic pain patients the most:

Depression

Irrational thinking patterns and the resultant uncomfortable emotions

Anxiety and Trauma Disorders

Sleep Disorders 

Of these four the one that causes the biggest problems for the most people—and sometimes gets under-diagnosed and/or under-treated—is Clinical Depression.  Therefore is important to focus on understanding and managing depression to obtain effective chronic pain management.

Hitting the Wall Called Depression

There are several types of clinical depression that involve disturbances in mood, concentration, self-confidence, sleep, appetite, activity and behavior as well as disruptions in friendships, family, work and/or school.  A clinical depression is different than the experiences of sadness, disappointment and grief familiar to everyone, which makes it difficult to determine when professional help is necessary. 

To learn more about the role of depression in chronic pain management please check out my article The Role of Clinical Depression in Chronic Pain that you can download for free on our Ariticles page.

You can learn more about the Addiction-Free Pain Management® System at our website www.addiction-free.com. If you are in recovery and want to learn how to develop a plan for managing your pain and medication effectively go to our Publications page and check out my book the Addiction-Free Pain Management® Recovery Guide: Managing Pain and Medication in Recovery. To purchase this book please Click Here.

We have a busy fall schedule for upcoming trainings that you can check out on our Calendar page.

To listen to a recent radio interview I did conducted by Mary Woods for her program One Hour at a Time please Click Here to go to this interview.

To read the September Issues of Chronic Pain Solutions Newsletter please click here. If you want to sign up for the newsletter, please click here and input your name and email address. You will then recieve an autoresponse email that you need to reply to in order to finalize enrollment.


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